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General NPI Number Information
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NPI Number | 1487588703
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Entity Type | Organization
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Legal Business Name | HEARTLAND COMMUNITY HEALTH CLINIC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 417 NE ADAMS ST STE 101
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City | PEORIA
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State | IL
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Zip | 61603-4201
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Country | US
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Telephone | 309-680-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 2214 N UNIVERSITY ST
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City | PEORIA
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State | IL
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Zip | 61604-3221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | KATIE LYNN SAUCEDO
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Credential |
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Telephone | 309-495-8644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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