Provider Demographics
NPI:1396630620
Name:HEARTLAND DIALYSIS VASCULAR ACCESS CARE, LLC
Entity type:Organization
Organization Name:HEARTLAND DIALYSIS VASCULAR ACCESS CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-276-1770
Mailing Address - Street 1:2340 E MEYER BLVD STE 480
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64132-1116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2340 E MEYER BLVD STE 480
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64132-1116
Practice Address - Country:US
Practice Address - Phone:816-276-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical