Organization
HEARTLAND HEALTH CENTER, INC
Active
Parent organization
HEARTLAND HEALTH CENTER, INC
Other names
Heartland Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND HEALTH CENTER, INC
Authorized official
KELLY OLSUFKA (FINANCIAL SPECIALIST)
(308) 382-4297
Entity
Organization
Contact information
Practice address
104 W SENECA ST, RAVENNA, NE 68869-1363
(308) 382-4297
Mailing address
3307 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-4297
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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