Organization Name: | HEARTLAND MEMORIAL HOSPITAL, LLC |
NPI Number: | 1023017423 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY YESSENOW (CEO) |
Mailing Address: | 315 W 89th Ave Merrillville |
State: | IN US |
Postal Code: | 464106254 |
Phone Number: | 2197575275 |
Fax Number: | 2197575290 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |