| Heartland Health Services At Sheridan | |
|
2116 N Sheridan Rd # 104 Peoria IL 61604-3457 | |
| (309) 680-7600 | |
| (309) 679-6049 |
| Full Name | Heartland Health Services At Sheridan |
|---|---|
| Speciality | Clinic/Center |
| Location | 2116 N Sheridan Rd # 104, Peoria, Illinois |
| Authorized Official Name and Position | Sharon A Adams (CEO) |
| Authorized Official Contact | 3096807665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Health Services At Sheridan 2214 N University St Peoria IL 61604-3221 Ph: (309) 680-7600 | Heartland Health Services At Sheridan 2116 N Sheridan Rd # 104 Peoria IL 61604-3457 Ph: (309) 680-7600 |
| NPI Number | 1922561000 |
|---|---|
| Provider Enumeration Date | 04/07/2019 |
| Last Update Date | 03/12/2022 |
| Medicare PECOS PAC ID | 7416850318 |
|---|---|
| Medicare Enrollment ID | O20190717000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922561000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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