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General NPI Number Information
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NPI Number | 1568695781
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Entity Type | Organization
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Legal Business Name | HEARTLAND LONG TERM ACUTE CARE HOSPITAL
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Dates
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Enumeration Date | 09/04/2009
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 5325 FARAON ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3488
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Country | US
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Telephone | 816-271-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 FARAON ST
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City | SAINT JOSEPH
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State | MO
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Zip | 64506-3488
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Country | US
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Telephone | 816-271-6000
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DREW KEESBURY
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Credential |
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Telephone | 816-271-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 513-0
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License Number State | MO
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