Organization
HEARTLAND REGIONAL MEDICAL CENTER
Active
Other names
Mosaic Life Care at St. Joseph Acute Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-1047
Entity
Organization
Contact information
Practice address
5325 FARAON, SAINT JOSEPH, MO 64506-3398
(816) 271-6000
(816) 271-7173
Mailing address
5325 FARAON, SAINT JOSEPH, MO 64506-3398
(816) 271-6000
(816) 271-7173
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
426-9
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010156800
—
MO
Enumeration date
10/04/2006
Last updated
02/02/2023
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