Provider Demographics
NPI:1922339134
Name:HEARTLAND URGENT CARE LP
Entity Type:Organization
Organization Name:HEARTLAND URGENT CARE LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-477-3505
Mailing Address - Street 1:PO BOX 241632
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-5632
Mailing Address - Country:US
Mailing Address - Phone:402-343-1701
Mailing Address - Fax:402-573-6279
Practice Address - Street 1:965 S 27TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3140
Practice Address - Country:US
Practice Address - Phone:402-477-3505
Practice Address - Fax:402-573-6279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care