Organization
HEARTLAND KIDNEY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANN WILLIAMS (ADMINISTRATOR)
(417) 358-5500
Entity
Organization
Contact information
Practice address
2828 S GRAND AVE, CARTHAGE, MO 64836-7905
(417) 358-5500
(417) 358-5510
Mailing address
2828 S GRAND AVE, CARTHAGE, MO 64836-7905
(417) 358-5500
(417) 358-5510
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
05/16/2012
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