Active NPI
Heartland Women'S Healthcare LTD
- Rural Health Clinic/Center
- Centralia, IL
National Provider Identifier
1154897254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- HEARTLAND WOMEN'S HEALTHCARE LTD
- Practice address
- 430 N Pleasant Ave
Centralia, IL 62801-3006 - Phone
- (618) 997-5266
- NPI assigned
- Oct 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J. Schifano, DO
- Title
- President
- Phone
- (618) 997-5266
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
430 N Pleasant Ave
Centralia, IL 62801-3006
Mailing address
3230 Veterans Memorial Dr
Mount Vernon, IL 62864-5950
Phone (618) 997-5266
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1154897254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 VETERANS MEMORIAL DR",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628645950",
"telephone_number": "618-997-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N PLEASANT AVE",
"city": "CENTRALIA",
"state": "IL",
"postal_code": "628013006",
"telephone_number": "618-997-5266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND WOMEN'S HEALTHCARE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A",
"authorized_official_last_name": "SCHIFANO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-997-5266",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.