| Organization Name: | HEARTLAND MEDICAL AND HOME HEALTH INC |
| NPI Number: | 1083764401 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERRI ELAINE SCHRECK (OWNER) |
| Mailing Address: | 121 N Main St Elk City |
| State: | OK US |
| Postal Code: | 736444751 |
| Phone Number: | 5802435551 |
| Fax Number: | 5802435552 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | 35-4534 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |