Healthcare Provider Details

I. General information

NPI: 1245141746
Provider Name (Legal Business Name): HEARTLAND ACCESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 TRAVELERS TRAIL WEST APT 321
BURNSVILLE MN
55337
US

IV. Provider business mailing address

2809 E HAMILTON AVE # 196
EAU CLAIRE WI
54701-6863
US

V. Phone/Fax

Practice location:
  • Phone: 612-490-8477
  • Fax: 715-883-0128
Mailing address:
  • Phone: 612-490-8477
  • Fax: 715-883-0128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ABDIHAKIN HASSAN
Title or Position: OWNER
Credential:
Phone: 612-490-8477