=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982403218
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEARTLAND HEALTH CENTER INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2025
-----------------------------------------------------
Last Update Date | 02/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2116 W FAIDLEY AVE STE 2100
-----------------------------------------------------
City | GRAND ISLAND
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68803-4602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-361-4475
-----------------------------------------------------
Fax | 308-224-2871
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 416 S TYLER ST
-----------------------------------------------------
City | AMARILLO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 79101-2346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 833-361-4475
-----------------------------------------------------
Fax | 308-224-2871
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT PHARMACY SERVICES
-----------------------------------------------------
Name | JOEL WRIGHT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 806-242-7782
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------