Healthcare Provider Details

I. General information

NPI: 1922231943
Provider Name (Legal Business Name): HEARTLAND SECURITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 08/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 NORTH 8TH AVENUE WEST SUITE 2
MELROSE MN
56352
US

IV. Provider business mailing address

PO BOX 330
ROCKFORD MN
55373-0330
US

V. Phone/Fax

Practice location:
  • Phone: 888-264-6380
  • Fax: 866-592-0406
Mailing address:
  • Phone: 763-477-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. GUY ADAMS
Title or Position: GENERAL MANAGER
Credential:
Phone: 888-264-6380