| NPI | 1396750022 |
|---|---|
| Doing Business As | HEARTLAND PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | THOMAS G INGRAM Owner 270-765-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-05-31 |