NPIMap

Organization Active NPI

Heartland Community Health Clinic

Doing business as Heartland Health Services - Sheridan

  • Federally Qualified Health Center (FQHC)
  • Peoria, IL
National Provider Identifier
1922561000
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEARTLAND COMMUNITY HEALTH CLINIC
Doing business as
Heartland Health Services - Sheridan
Practice address
2116 N Sheridan Rd Ste a
Peoria, IL 61604-3422
Phone
(309) 680-7600
NPI assigned
Apr 7, 2019
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Katie Saucedo
Title
Revenue Cycle Manager
Phone
(309) 680-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2116 N Sheridan Rd Ste a
Peoria, IL 61604-3422

Mailing address

2214 N University St
Peoria, IL 61604-3221
Phone (309) 680-7600

Other names 1

  • Heartland Health Services - Sheridan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608000958 IL Part B Supplier - Clinic/Group Practice 7416850318 Receives reassigned benefits from 12 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Peoria, IL; Pekin, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922561000. Details of each certification follow.

  • CCN 781929 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 781929

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEARTLAND HEALTH SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 29, 2019
Last certification
Jul 29, 2019
Ownership / control type
For profit – corporation
Facility address
2116 N. Sheridan Rd, #104
Bellevue, IL 61604

Other NPIs on the same Medicare enrollment 6

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
14D2165175Heartland Health Services - Sheridan2116 N Sheridan Rd #104, Peoria, IL 61604Certificate of waiverApr 22, 2027

National Provider Directory

National Provider Directory

Locations

1005 NE Jefferson Ave
Peoria, IL 61603

1701 W Garden St
Peoria, IL 61605

2116 N Sheridan Rd
#104
Peoria, IL 61604

2116 N Sheridan Rd
Ste 104
Peoria, IL 61604

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1922561000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043221",
            "telephone_number": "309-680-7600",
            "fax_number": "309-681-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 N SHERIDAN RD STE A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043422",
            "telephone_number": "309-680-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND COMMUNITY HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-07",
        "last_updated": "2025-08-15",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "309-680-7600"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Health Services - Sheridan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.