Heartland Medical Clinic, INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Lawrence, KS. Organization (NPI-2).
NPI number1689367252
StatusActive
Last updated in NPPESJun 29, 2025
Details
- NPI
- 1689367252
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartland Medical Clinic, INC
- Organization subpart
- No
- Enumeration date
- May 31, 2023
- Certification date
- Jun 29, 2025
- Last updated
- Jun 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 208000000X | Pediatrics | – | – |
Other names
- Heartland Community Health Center (Doing Business As)
Practice location
534 Michigan StreetLawrence, KS 66044
Phone 785-841-7297 · Fax 785-856-0375
Mailing address
1312 W 6th StLawrence, KS 66044-2219
Phone 785-841-7297 · Fax 785-856-0375
Authorized official
Julie Meredith Branstrom
Ceo
7858417297
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