NPIMap

Organization Active NPI

Heartland Women'S Healthcare, LTD

  • Rural Health Clinic/Center
  • Mount Vernon, IL
National Provider Identifier
1801280409
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HEARTLAND WOMEN'S HEALTHCARE, LTD
Practice address
3130 Veterans Memorial Dr
Mount Vernon, IL 62864-5951
Phone
(618) 997-5266
Fax
(618) 997-5285
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Dr. Michael J Schifano, D.O.NPI 1679507818
Title
President
Phone
(618) 997-5266

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

3130 Veterans Memorial Dr
Mount Vernon, IL 62864-5951

Mailing address

3230 Veterans Memorial Dr
Mount Vernon, IL 62864-5950
Phone (618) 997-5266

Other names 1

  • Heartland Women's Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131219000094 IL Part A Provider - Rural Health Clinic 1759270648 1 other NPI on this enrollment
Practice locations: Mount Vernon, IL

Rural health clinic certification: CCN 783830

Legal name
HEARTLAND WOMEN'S HEALTHCARE LTD
Doing business as
HEARTLAND WOMEN'S HEALTHCARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 23, 2014
Last certification
Jul 1, 2021
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jun 15, 2001 in IL
Enrollment address
3130 Veterans Memorial Dr
Mount Vernon, IL 62864-5951

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2000932Heartland Women'S Healthcare3130 Veterans Memorial Dr, Mount Vernon, IL 62864Provider-performed microscopyDec 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Heartland Women'S Healthcare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Schifano Individual 5% Or Greater Direct Ownership Interest Jun 1, 2001 100%
Corporate OfficerPresident Jun 1, 2001 100%
W-2 Managing EmployeeMedical Director Jun 1, 2001 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1801280409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 VETERANS MEMORIAL DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645950",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 VETERANS MEMORIAL DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645951",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND WOMEN'S HEALTHCARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SCHIFANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-997-5266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.