MEDICARE: HEARTLAND COMMUNITY HEALTH CLINIC

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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1568883718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND COMMUNITY HEALTH CLINIC

Provider Business Mailing Address
First Line	:	2214 N UNIVERSITY ST
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61604-3221
Country	:	US
Telephone Number	:	309-680-7600
Fax Number	:	309-681-8443

Provider Business Practice Location Address
First Line	:	1800 N KNOXVILLE AVE STE A
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61603-3005
Country	:	US
Telephone Number	:	309-680-7600
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	KATIE SAUCEDO
Credential	:
Telephone Number	:	309-680-7600

Provider Enumeration Date	:	12/13/2013
Last Update Date	:	08/15/2025

Similar Medicare Providers

1942801071 — KATHRINE SUNSTEDT CPNP-AC
Practice Location Address:

1800 N KNOXVILLE AVE STE C
PEORIA, IL
61603-3005

Practice Phone: 309-624-9680
Practice Fax: 309-624-9524

1477634285 — BENITO CAMACHO MD
Practice Location Address:

1800 N KNOXVILLE AVE STE A
PEORIA, IL
61603-3005

Practice Phone: 309-680-7600
Practice Fax: 309-495-8614

1659684777 — MARYAH MANSOOR MD
Practice Location Address:

1800 N KNOXVILLE AVE STE E
PEORIA, IL
61603-3005

Practice Phone: 309-308-0910
Practice Fax: 309-308-0919

1659802908 — DR. ANJELI STEVENS D.O
Practice Location Address:

1800 N KNOXVILLE AVE STE C
PEORIA, IL
61603-3005

Practice Phone: 309-624-9680
Practice Fax:

1194252130 — SHILPA HARI M.D.
Practice Location Address:

1800 N KNOXVILLE AVE STE B
PEORIA, IL
61603-3005

Practice Phone: 309-624-8517
Practice Fax: 309-624-9694

1497215784 — MARYJO MALIEKEL MD
Practice Location Address:

1800 N KNOXVILLE AVE STE E
PEORIA, IL
61603-3005

Practice Phone: 309-308-0910
Practice Fax: 309-308-0919

Directions to “HEARTLAND COMMUNITY HEALTH CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.