Healthcare Provider Details

I. General information

NPI: 1023428281
Provider Name (Legal Business Name): HEARTLAND REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8860 NE 82ND TER
KANSAS CITY MO
64158-1313
US

IV. Provider business mailing address

8860 NE 82ND TER
KANSAS CITY MO
64158-1313
US

V. Phone/Fax

Practice location:
  • Phone: 816-437-8122
  • Fax:
Mailing address:
  • Phone: 816-437-8101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number251-0
License Number StateMO

VIII. Authorized Official

Name: MRS. CINDY G PATTERSON
Title or Position: MANAGED CARE CONTRACT ANALYST
Credential:
Phone: 816-271-7861