Organization
HEARTLAND REGIONAL MEDICAL CENTER
Active
Other names
MOSAIC LIFE CARE ANESTHESIA
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY G PATTERSON (PROVIDER ENROLLMENT SPECIALIST)
(816) 271-7861
Entity
Organization
Contact information
Practice address
5325 FARAON, SAINT JOSEPH, MO 64506-3398
(816) 271-6000
Mailing address
5325 FARAON ST, SAINT JOSEPH, MO 64506-3488
(816) 271-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540156809
—
MO
Enumeration date
11/08/2006
Last updated
03/10/2016
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