Active NPI
Heartland Kidney and Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Neosho, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- HEARTLAND KIDNEY AND DIALYSIS CENTER
- Practice address
- 833 N Bus 49
Neosho, MO 64850-6898 - Phone
- (417) 455-9255
- Fax
- (417) 455-9422
- NPI assigned
- Jan 15, 2013
- Last updated
- Jul 5, 2013
- 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
- Leslie M Hamlett, D.O.
- Title
- President
- Phone
- (417) 455-9255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
833 N Bus 49
Neosho, MO 64850-6898
Mailing address
2828 S Grand Ave
Carthage, MO 64836-7905
Phone (417) 358-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130205000586 | MO | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 6800040528 | Practice locations: Neosho, MO |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Freeman Ambulance Service
- Ambulance
- Anderson, MO
- NPI 1043252646
Member Of
Locations
833 N Business 49
Neosho, MO 64850
Phone (417) 455-9255
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Columbia, MO
- NPI 1720012628
-
- Nephrology Physician
- Joplin, MO
- NPI 1427084136
-
- Nephrology Physician
- Springfield, MO
- NPI 1467644286
-
- Nephrology Physician
- Joplin, MO
- NPI 1023025707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372982400000",
"number": "1407193063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 S GRAND AVE",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648367905",
"telephone_number": "417-358-5500",
"fax_number": "417-358-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 N BUS 49",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648506898",
"telephone_number": "417-455-9255",
"fax_number": "417-455-9422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND KIDNEY AND DIALYSIS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2013-07-05",
"status": "A",
"authorized_official_last_name": "HAMLETT",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "417-455-9255",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Neosho, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.