| Heartland Health Llc | |
|
6950 France Ave S Ste 14 Edina MN 55435-2016 | |
| (952) 922-9056 | |
| Not Available |
| Full Name | Heartland Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6950 France Ave S Ste 14, Edina, Minnesota |
| Authorized Official Name and Position | Craig Lyle Polsfuss (CEO) |
| Authorized Official Contact | 9529229056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Health Llc 15552 Dynasty Way Apple Valley MN 55124-7836 Ph: (952) 922-9056 | Heartland Health Llc 6950 France Ave S Ste 14 Edina MN 55435-2016 Ph: (952) 922-9056 |
| NPI Number | 1043465321 |
|---|---|
| Provider Enumeration Date | 11/30/2008 |
| Last Update Date | 11/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043465321 | NPI | - | NPPES |
| 013848700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP0620 (Minnesota) | Primary |
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