MEDICARE: HEARTLAND INFUSION

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	261QI0500X	Infusion Therapy Clinic/Center	0000005363	TN
3	3336H0001X	Home Infusion Therapy Pharmacy	0000005363	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2145274	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366868135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND INFUSION

Provider Business Mailing Address
First Line	:	214 CENTERVIEW DR STE 250
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-3248
Country	:	US
Telephone Number	:	865-909-9713
Fax Number	:

Provider Business Practice Location Address
First Line	:	9943 KINGSTON PIKE
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922
Country	:	US
Telephone Number	:	865-909-9713
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. WILLIAM SEIBELS
Credential	:
Telephone Number	:	818-731-9903

Provider Enumeration Date	:	03/17/2014
Last Update Date	:	06/15/2026

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Directions to “HEARTLAND INFUSION ” Practice Location

Language	Start Address	Practice Location

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