Organization
HEARTLAND REGIONAL MEDICAL CENTER
Active
Other names
Mosaic Life Care at St Joseph
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY G PATTERSON (PROVIDER ENROLLMENT SPECIALIST)
(816) 271-7861
Entity
Organization
Contact information
Practice address
802 N RIVERSIDE RD, STE 150, SAINT JOSEPH, MO 64507-2502
(816) 271-4025
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
(816) 271-7678
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099580
—
KS
05
—
508279908
—
MO
Enumeration date
07/22/2008
Last updated
03/10/2016
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