MEDICARE: HEARTLAND REGIONAL MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	46-22	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003916198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	5506 CORPORATE DR STE 1600
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64507-7765
Country	:	US
Telephone Number	:	816-271-7593
Fax Number	:	816-271-7191

Provider Business Practice Location Address
First Line	:	5506 CORPORATE DR STE 1600
Second Line	:
City	:	SAINT JOSEPH
State	:	MO
Zip	:	64507-7765
Country	:	US
Telephone Number	:	816-271-7593
Fax Number	:	816-271-7191

Authorized Official
Title or Position	:	VP INTEGRATED SERVICES
Name	:	DENISE SCHRADER
Credential	:
Telephone Number	:	816-271-7190

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	12/02/2020

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Directions to “HEARTLAND REGIONAL MEDICAL CENTER ” Practice Location

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