Heartland Alternative Service Program

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

188 Issued in MO

Legal business name

HEARTLAND ALTERNATIVE SERVICE PROGRAM

Practice address

331 N Main St
Poplar Bluff, MO 63901-5154

Phone

(573) 686-5488

Fax

(573) 686-5488

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Addresses

Other identifiers 1

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.

• Heartland Alternative Service Program

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Poplar Bluff, MO
  • NPI 1699941641
  NPD tax ID

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1841320587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N MAIN ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015154",
            "telephone_number": "573-686-5488",
            "fax_number": "573-686-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N MAIN ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015154",
            "telephone_number": "573-686-5488",
            "fax_number": "573-686-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ALTERNATIVE SERVICE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-04-06",
        "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": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SATOP CERTIFICATION #",
            "identifier": "188",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Hatley
• Haven Hills Medical Clinic
• Jennifer Rebecca Hawkins, PHARM.D.
• Doris F Hays, FNP
• Heartland Alternative Service Program
• Heartland Radiology, Inc.
• Heartland Women'S Healthcare Mo PC
• Leslie S Heath
• Rebekah Heaton, LCSW
• Ginger Marie Hederer, MSW

• Addiction (Substance Use Disorder) Counselor in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Addiction (Substance Use Disorder) Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.