Organization
HEARTLAND MEDICAL CLINIC, INC.
Active
Other names
Heartland Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BRANSTROM (CEO)
(785) 841-7297
Entity
Organization
Contact information
Practice address
1312 W 6TH ST, LAWRENCE, KS 66044-2219
(785) 841-7297
(785) 856-0375
Mailing address
1312 W 6TH ST, LAWRENCE, KS 66044-2219
(785) 841-7297
(785) 856-0375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
KS
208000000X
Pediatrics Physician
—
KS
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200688980A
—
KS
05
—
30003936890001
—
KS
Enumeration date
07/26/2016
Last updated
05/08/2026
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