MEDICARE: HEARTLAND COMMUNITY 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
1	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1225836802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND COMMUNITY HEALTH CLINIC

Provider Business Mailing Address
First Line	:	2214 N UNIVERSITY ST
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61604-3221
Country	:	US
Telephone Number	:	309-495-8644
Fax Number	:

Provider Business Practice Location Address
First Line	:	512 E KANSAS ST
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61603-2554
Country	:	US
Telephone Number	:	309-680-7600
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	KATIE SAUCEDO
Credential	:
Telephone Number	:	309-680-7600

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	07/25/2025

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Directions to “HEARTLAND COMMUNITY HEALTH CLINIC ” Practice Location

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