Active NPI
Heartland Rural Healthcare, LLC
- Family Medicine Physician
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEARTLAND RURAL HEALTHCARE, LLC
- Practice address
- 3331 W Deyoung St
Marion, IL 62959-5896 - Phone
- (618) 998-7000
- NPI assigned
- Feb 19, 2020
- 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
- Laura J Fey
- Title
- Authorized Official
- Phone
- (615) 221-3641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3331 W Deyoung St
Marion, IL 62959-5896
Mailing address
1573 Mallory LN Ste 200
Brentwood, TN 37027-2895
Phone (615) 221-1400
National Provider Directory
National Provider DirectoryLocations
1000 Eleven S
Ste 2F
Columbia, IL 62236
Phone (618) 281-9300
1261 University Dr
Ste E
Edwardsville, IL 62025
Phone (618) 235-3378
1261 University Dr
Ste A
Edwardsville, IL 62025
Phone (618) 451-0505
5032 N Illinois St
Fairview Heights, IL 62208
Phone (618) 798-8652
4273 S State Route 159
Fl 2
Glen Carbon, IL 62034
Phone (618) 288-2297
2044 Madison Ave
Ste 15
Granite City, IL 62040
Phone (618) 451-1500
2100 Madison Ave
Ste 200
Granite City, IL 62040
Phone (618) 798-8331
2044 Madison Ave
Ste G2
Granite City, IL 62040
Phone (314) 549-8494
2100 Madison Ave
Ste 15
Granite City, IL 62040
Phone (618) 451-1500
607 S Commercial St
Harrisburg, IL 62946
Phone (618) 252-0818
303 S Commercial St
Ste 15
Harrisburg, IL 62946
Phone (618) 252-2410
209 Crossroads Pl
Ste 140
Mount Vernon, IL 62864
Phone (618) 241-7207
1573 Mallory Ln
Ste 200
Brentwood, TN 37027
Interoperability endpoints
- https://api.platform.athenahealth.com/1588/brand/1/csg/121/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Baytown, TX
- NPI 1477615649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582070400000",
"number": "1275166134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 MALLORY LN STE 200",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272895",
"telephone_number": "615-221-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 W DEYOUNG ST",
"city": "MARION",
"state": "IL",
"postal_code": "629595896",
"telephone_number": "618-998-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND RURAL HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A",
"authorized_official_last_name": "FEY",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-221-3641"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
- Health Heroes of Illinois, Inc.
- Health Plan of Southern Illinois, Inc.
- Healthdirect Institutional Pharmacy Services, Inc.
- Heartland Balance and Hearing Center SC
- Heartland Pediatric Clinic
- Heartland Rural Healthcare, LLC
- Heartland Spine, LLC
- Heartland Surgery LLC
- Heartland Women'S Healthcare LTD
- Heartland Women'S Healthcare LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.