Heartland Community Health Clinic in Peoria - Federally Qualified Health Center (fqhc)
Heartland Community Health Clinic - NPI 1396799888
Heartland Community Health Clinic is a Federally Qualified Health Center (fqhc) in Peoria, Illinois. Heartland Community Health Clinic practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Heartland Community Health Clinic is 1396799888. The last update date is 2022-03-12.
Heartland Community Health Clinic's current location address is 2214 N University St, Peoria, Illinois. You can contact this provider via phone number 3096807600 and fax number 3096818443. The mailing address for Heartland Community Health Clinic is 2214 N University St, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heartland Community Health Clinic |
|---|---|
| Address | 2214 N University St, Peoria, Illinois |
| Phone Number | 3096807600 |
| Fax Number | 3096818443 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Adams A Sharon |
| Telephone Number | 3096807665 |
NPI Number Detail
| NPI Number | 1396799888 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2022-03-12 |
Provider Mailing Address Detail
| Address | 2214 N University St |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616043221 |
| Phone Number | 3096807600 |
| Fax Number | 3096818443 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique identification code assigned to Heartland Community Health Clinic by the Centers for Medicare & Medicaid Services?
The Heartland Community Health Clinic has been issued the NPI (National Provider Identifier) 1396799888. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Heartland Community Health Clinic located?
The Heartland Community Health Clinic is located at 2214 N University St, Peoria, IL 616043221.
What is Heartland Community Health Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Heartland Community Health Clinic's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396799888 to Heartland Community Health Clinic?
The Heartland Community Health Clinic received its 1396799888 assignment from the Centers for Medicare & Medicaid Services on 2006-05-20.
As of what date was the information regarding Heartland Community Health Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heartland Community Health Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-12.