| Heartland Medical Care Pc | |
|
10010 E Truman Rd Independence MO 64052-2160 | |
| (816) 252-7800 | |
| (816) 252-3542 |
| Full Name | Heartland Medical Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10010 E Truman Rd, Independence, Missouri |
| Authorized Official Name and Position | Pamela Moore (OFFICE MANAGER) |
| Authorized Official Contact | 8162527800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Medical Care Pc 10010 E Truman Rd Independence MO 64052-2160 Ph: (816) 252-7800 | Heartland Medical Care Pc 10010 E Truman Rd Independence MO 64052-2160 Ph: (816) 252-7800 |
| NPI Number | 1861511859 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 5991776122 |
|---|---|
| Medicare Enrollment ID | O20040803000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861511859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Missouri) | Primary |
| Provider Name | James V Linnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417961988 PECOS PAC ID: 1951312826 Enrollment ID: I20060508000494 |
| Provider Name | Kathleen D Mammen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114948627 PECOS PAC ID: 2769461763 Enrollment ID: I20060826000002 |
| Provider Name | Amanda Parrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417459694 PECOS PAC ID: 5395008742 Enrollment ID: I20201202002766 |
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