MEDICARE: HEARTLAND REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	246-0	MO

General Provider Information

NPI Number	:	1336491695
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	5325 FARAON ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64506-3488
Country	:	US
Telephone Number	:	816-271-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 N LUCERNE AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-3105
Country	:	US
Telephone Number	:	816-569-1802
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JOHN WILSON
Credential	:
Telephone Number	:	816-271-6611

Provider Enumeration Date	:	10/11/2012
Last Update Date	:	09/09/2014

Similar Medicare Providers

1063677961 — HEARTLAND REGIONAL MEDICAL CENTER
Practice Location Address:

6301 N LUCERNE AVE , 8880 NE 82ND TERRACE, KANSAS CITY, MO 64158
KANSAS CITY, MO
64151-3105

Practice Phone: 816-569-1803
Practice Fax:

1255684379 — BRADLEY RAY BOGGESS
Practice Location Address:

6301 N. LUCERNE
KANSAS CITY, MO
64151-3105

Practice Phone: 816-569-1802
Practice Fax: 816-569-2099

1538413141 — MATTIE L. BARNTS
Practice Location Address:

6301 N. LUCERNE
KANSAS CITY, MO
64151-3105

Practice Phone: 816-569-1600
Practice Fax: 816-569-1505

1770904393 — HEARTLAND REGIONAL MEDICAL CENTER
Practice Location Address:

6301 N LUCERNE AVE
KANSAS CITY, MO
64151-3105

Practice Phone: 816-569-1802
Practice Fax: 816-569-2099

1881076198 — JOHN SWAB D.O.
Practice Location Address:

6301 N LUCERNE AVE
KANSAS CITY, MO
64151-3105

Practice Phone: 816-525-2840
Practice Fax: 816-525-2841

1861997439 — MEGAN DUDEN
Practice Location Address:

6301 N LUCERNE AVE
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64151-3105

Practice Phone: 816-569-1802
Practice Fax:

Directions to “HEARTLAND REGIONAL MEDICAL CENTER ” Practice Location

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