Organization Active NPI

Heit Health Center SC

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1659712495
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEIT HEALTH CENTER SC
Practice address
7445 E State St
Rockford, IL 61108-2678
Phone
(815) 399-8560
Fax
(815) 399-6107
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Karla Gallivan
Title
Manager
Phone
(815) 399-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

7445 E State St
Rockford, IL 61108-2678

Mailing address

7445 E State St
Rockford, IL 61108-2678
Phone (815) 399-8560

National Provider Directory

National Provider Directory

Locations

7445 E State St
Rockford, IL 61108
Phone (815) 399-5860

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1659712495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082678",
            "telephone_number": "815-399-8560",
            "fax_number": "815-399-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082678",
            "telephone_number": "815-399-8560",
            "fax_number": "815-399-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIT HEALTH CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "GALLIVAN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "815-399-5860"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.