Heartland Rural Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HEARTLAND RURAL HEALTHCARE, LLC

Doing business as

IL SW Orthopedics

Practice address

4802 South State St Route 159
Glen Carbon, IL 62034

Phone

(618) 288-4388

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Laura J Fey

Title

Director Revenue Cycle

Phone

(615) 221-3641

Specialties & licenses 1

Addresses

Other names 1

• IL SW Orthopedics Doing business as

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1730771387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5009",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370245009",
            "telephone_number": "615-221-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 SOUTH STATE ST ROUTE 159",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-288-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RURAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IL SW Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Mireille Hartlieb
• Aliza Hasan, MD
• Sydney Lauryn Hatcher, PHARMD
• John Frederick Hatton, DMD
• Health Ventures of Southern Illinois Inc (Tri Lab LLC)
• Vickie Marie Hendricks, PHD
• Cheryl L. Hennig, PSY.D.
• William J Hentze, DDS
• David Brian Herman, M.D.
• Eric C Hess

• Durable Medical Equipment & Medical Supplies in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.