Provider Demographics
NPI:1245819846
Name:HEARTLAND HEALTH RESOURCE CENTER
Entity type:Organization
Organization Name:HEARTLAND HEALTH RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:J
Authorized Official - Last Name:COREY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW - PIP
Authorized Official - Phone:605-271-4813
Mailing Address - Street 1:2500 W 49TH ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105
Mailing Address - Country:US
Mailing Address - Phone:605-271-4813
Mailing Address - Fax:605-271-4815
Practice Address - Street 1:2500 W 49TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-271-4813
Practice Address - Fax:605-271-4815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty