MEDICARE: HEARTLAND MEDICAL CARE PC

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	261QP2300X	Primary Care Clinic/Center		MO

General Provider Information

NPI Number	:	1861511859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND MEDICAL CARE PC

Provider Business Mailing Address
First Line	:	10010 E TRUMAN RD
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64052-2160
Country	:	US
Telephone Number	:	816-252-7800
Fax Number	:	816-252-3542

Provider Business Practice Location Address
First Line	:	10010 E TRUMAN RD
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64052-2160
Country	:	US
Telephone Number	:	816-252-7800
Fax Number	:	816-252-3542

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	PAMELA MOORE
Credential	:
Telephone Number	:	816-252-7800

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	04/03/2023

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Directions to “HEARTLAND MEDICAL CARE PC ” Practice Location

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