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NPI Code Detail

MEDICARE: HEARTLAND HEALTH CLINIC

MEDICARE: HEARTLAND HEALTH CLINIC
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
13336C0002XClinic Pharmacy

General Provider Information

NPI Number : 1205563947
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND HEALTH CLINIC
Provider Business Mailing Address
First Line : PO BOX 702
Second Line :
City : DAYTON
State : VA
Zip : 22821-0702
Country : US
Telephone Number : 540-879-9002
Fax Number : 540-879-9007
Provider Business Practice Location Address
First Line : 101 HEARTLAND CT
Second Line :
City : DAYTON
State : VA
Zip : 22821-9000
Country : US
Telephone Number : 540-879-9002
Fax Number : 540-879-9007
Authorized Official
Title or Position : OFFICE MANAGER
Name : DONNA SHEETS
Credential :
Telephone Number : 540-879-9002
Provider Enumeration Date : 08/03/2022
Last Update Date : 08/03/2022

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Directions to “HEARTLAND HEALTH CLINIC ” Practice Location

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