Organization
HEARTLAND REGIONAL MEDICAL CENTER
Active
Other names
Mosaic Life Care
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-0473
Entity
Organization
Contact information
Practice address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
(816) 271-6786
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
(816) 271-7173
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
426-10
MO
207RC0000X
Cardiovascular Disease Physician
426-10
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
426-10
MO
207RP1001X
Pulmonary Disease Physician
426-10
MO
207RR0500X
Rheumatology Physician
426-10
MO
207T00000X
Neurological Surgery Physician
426-10
MO
207V00000X
Obstetrics & Gynecology Physician
426-10
MO
207X00000X
Orthopaedic Surgery Physician
426-10
MO
207Y00000X
Otolaryngology Physician
426-10
MO
2084P0800X
Psychiatry Physician
426-10
MO
208600000X
Surgery Physician
426-10
MO
2086S0129X
Vascular Surgery Physician
426-10
MO
208D00000X
General Practice Physician
Primary
426-10
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
426-10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099580
—
KS
05
—
508279908
—
MO
Enumeration date
02/12/2007
Last updated
01/11/2023
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