Organization
HEARTLAND CLINIC CANCER CENTER ST JOSEPH ONCOLOGY
Active
Parent organization
HEARTLAND REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND REGIONAL MEDICAL CENTER
Authorized official
MRS. JULIE A CUSICK (OFFICE MANAGER)
(816) 271-1301
Entity
Organization
Contact information
Practice address
902 N RIVERSIDE RD, SUITE 200, SAINT JOSEPH, MO 64507-2559
(816) 271-1301
(816) 271-1302
Mailing address
902 N RIVERSIDE RD, SUITE 200, SAINT JOSEPH, MO 64507-2559
(816) 271-1301
(816) 271-1302
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R3D52
MO
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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