Heartland Service Group

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

791703400022 Issued in MN

Legal business name

HEARTLAND SERVICE GROUP

Practice address

248 Oak Dr
Eagle Lake, MN 56024-3404

Phone

(734) 548-2095

NPI assigned

Jan 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Abdulahi Ali OsmanNPI 1376940171

Title

Ceo

Phone

(734) 548-2095

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdulahi Osman

  • Contractor
  • Eagle Lake, MN
  • NPI 1376940171
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1225427180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 OAK DR",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560243404",
            "telephone_number": "734-548-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 OAK DR",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560243404",
            "telephone_number": "734-548-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SERVICE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "ABDULAHI",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-548-2095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "MN",
            "license": "791703400022",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "791703400022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRANSPORTATION",
            "identifier": "172A00000X",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRANSPORTATION",
            "identifier": "171W00000X",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Bradley Allan Holmberg, BS, DDS
• Isaac Holter
• Anthony M McGowan, DC
• Madison Nohner, DDS

• Non-emergency Medical Transport (VAN) in Eagle Lake, MN
• Providers in Eagle Lake, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.