Heartland Rural Healthcare, Llc | |
3331 W Deyoung St Suite 207 Marion IL 62959-5896 | |
(618) 985-9140 | |
Not Available |
Full Name | Heartland Rural Healthcare, Llc |
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Speciality | Family Medicine |
Location | 3331 W Deyoung St, Marion, Illinois |
Authorized Official Name and Position | Tom Keim (ASSISTANT CEO) |
Authorized Official Contact | 6189987019 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heartland Rural Healthcare, Llc Po Box 504392 Saint Louis MO 63150-0001 Ph: (618) 985-9140 | Heartland Rural Healthcare, Llc 3331 W Deyoung St Suite 207 Marion IL 62959-5896 Ph: (618) 985-9140 |
NPI Number | 1316009582 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1316009582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 36-059507 (Illinois) | Primary |
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