MEDICARE: HEARTLAND CARE TRANSPORT SOLUTIONS LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1851890743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND CARE TRANSPORT SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1415 N 62ND ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-1319
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1415 N 62ND ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-1319
Country	:	US
Telephone Number	:	913-485-4680
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WENDELL COLE
Credential	:
Telephone Number	:	913-485-4680

Provider Enumeration Date	:	02/06/2018
Last Update Date	:	02/06/2018

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