NPIMap

Organization Active NPI

Heartland Alternative Service Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Poplar Bluff, MO
National Provider Identifier
1699941641
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
188 Issued in MO
Legal business name
HEARTLAND ALTERNATIVE SERVICE PROGRAM
Practice address
405 Poplar St
Poplar Bluff, MO 63901-5807
Phone
(573) 686-5488
Fax
(573) 686-2752
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Ms. Barbara A Head
Title
Executive Director
Phone
(573) 686-5488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 188 MO Primary

Addresses

Primary practice location

405 Poplar St
Poplar Bluff, MO 63901-5807

Mailing address

405 Poplar St
Poplar Bluff, MO 63901-5807
Phone (573) 686-5488

National Provider Directory

National Provider Directory
Tax ID family
Heartland Alternative Service Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1699941641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 POPLAR ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015807",
            "telephone_number": "573-686-5488",
            "fax_number": "573-686-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 POPLAR ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015807",
            "telephone_number": "573-686-5488",
            "fax_number": "573-686-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ALTERNATIVE SERVICE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "573-686-5488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MO",
            "license": "188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.