Organization
HEARTLAND PATHOLOGY CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN GODFREY DO (PRESIDENT)
(270) 706-1212
Entity
Organization
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1212
Mailing address
PO BOX 561, ELIZABETHTOWN, KY 42702-0561
(270) 360-0199
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65931511
—
KY
01
—
CI3480
MEDICARE RAILROAD
—
Enumeration date
09/20/2006
Last updated
03/28/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us