Provider Demographics
NPI:1700225331
Name:HEARTLAND PAIN CLINICS, LLC
Entity Type:Organization
Organization Name:HEARTLAND PAIN CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-382-9048
Mailing Address - Street 1:603 N DIERS AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4986
Mailing Address - Country:US
Mailing Address - Phone:308-382-9048
Mailing Address - Fax:308-398-1149
Practice Address - Street 1:603 N DIERS AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4986
Practice Address - Country:US
Practice Address - Phone:308-382-9048
Practice Address - Fax:308-398-1149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-17
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty