Organization Active NPI

Heartland Rural Healthcare, LLC

  • Family Medicine Physician
  • Marion, IL
National Provider Identifier
1275166134
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 19, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.