Organization
HEARTLANDS RADIATION THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET S PIECK (OWNER)
(402) 727-3580
Entity
Organization
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 727-3580
Mailing address
PO BOX 485, BOYS TOWN, NE 68010-0485
(402) 727-3580
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024966800
—
NE
01
—
DG8502
MEDICARE RR
—
Enumeration date
06/11/2006
Last updated
04/15/2008
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