HEARTLAND COMMUNITY HEALTH CLINIC (NPI# 1679048144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679048144 |
| Entity Type | Organization |
| Organization Name | HEARTLAND COMMUNITY HEALTH CLINIC |
| Other Organization Name | HEARTLAND HEALTH SERVICES-TAZWOOD |
| Practice Address |
3248 Vandever Ave Ste B Pekin IL 61554-6277 |
| Mailing Address |
2214 N University St Peoria IL 61604-3221 |
| Practice Telephone | 3096807600 |
| Practice Fax Number | 3094958698 |
| Mailing Telephone | 3096807669 |
| Mailing Fax Number | 3096818443 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | MS. SHARON A ADAMS (CEO) |
| Authorized Official Telephone | 3096807665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heartland Health Services-Tazwood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561000 | Heartland Community Health Clinic | Clinic/Center | 2116 N Sheridan Rd # 104, Peoria, IL 61604-3457 | 2019-04-07 |
| 1568883718 | Heartland Community Health Clinic | Clinic/Center | 1800 N Knoxville Ave Ste A, Peoria, IL 61603-3005 | 2013-12-13 |
| 1497798607 | Heartland Community Health Clinic | Clinic/Center | 711 West John Gwynn Jr Avenue, Peoria, IL 61605-2270 | 2006-06-14 |
| 1710439070 | Heartland Community Health Clinic | Clinic/Center | 3422 Court St, Pekin, IL 61554-6235 | 2016-11-02 |
| 1104276492 | Heartland Community Health Clinic | Clinic/Center | 19 Olt Ave, Pekin, IL 61554-6214 | 2016-06-16 |
| 1467658443 | Heartland Community Health Clinic | Clinic/Center | 2321 N Wisconsin Ave, Peoria, IL 61603-5613 | 2007-06-26 |
| 1336193861 | Heartland Community Health Clinic | Clinic/Center | 1701 W Garden St, Peoria, IL 61605-3531 | 2006-05-20 |
| 1396799888 | Heartland Community Health Clinic | Clinic/Center | 228 Ne Jefferson Ave, Peoria, IL 61603-3802 | 2006-05-20 |
| Street Address |
3248 VANDEVER AVE STE B |
| City | PEKIN |
| State | IL |
| Zip Code | 61554-6277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457992158 | Zackary Steven Lloyd Ladson | Physician Assistant | 3248 Vandever Ave Ste B, Pekin, IL 61554-6277 | 2019-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279000 | Shauna L Bivens | Nurse Practitioner | 3400 Griffin Ave., Pekin, IL 61554 | 2016-08-09 |
| 1720349780 | Neal Family Chiropractic PC | Chiropractor | 2978 Court St., Pekin, IL 61554 | 2012-06-06 |
| 1366750671 | Dennis Kammerer Stoller | Dentist | 1608 Broadway, Pekin, IL 61554 | 2010-09-21 |
| 1013186683 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1421 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1568631133 | Tazwood Mental Health Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1425 Valle Vista Blvd, Pekin, IL 61554 | 2008-02-27 |
| 1689856312 | Pekin Supportive Living Limited Patnership | Assisted Living Facility | 1320 Executive Court, Pekin, IL 61554 | 2007-12-05 |
| 1205034824 | Winfield Curtis Morgan | Dentist | 1503 Valle Vista, Pekin, IL 61554 | 2007-07-05 |
| 1376769638 | Debra Mollie Davis | Registered Nurse | 2079 Edgewater Dr, Pekin, IL 61554 | 2007-04-17 |
| 1649308230 | Tazewell County Health Department -dental Health Center | Public Health or Welfare | 135 Radio City Drive, Suite A & B, North Pekin, IL 61554 | 2007-03-02 |
| 1528118239 | Jerry Lee Marshall | Dentist | 135a-b Radio City Drive, North Pekin, IL 61554 | 2007-01-12 |
| Find all providers in zip 61554 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710439070 | Heartland Community Health Clinic | Clinic/Center | 3422 Court St, Pekin, IL 61554-6235 | 2016-11-02 |
| 1104276492 | Heartland Community Health Clinic | Clinic/Center | 19 Olt Ave, Pekin, IL 61554-6214 | 2016-06-16 |
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| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.