| Organization Name: | HEARTLAND RESOURCES, INC. |
| NPI Number: | 1184753733 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIRGIE TRAVELLE WHITAKER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 108 East Main Street Ewing |
| State: | MO US |
| Postal Code: | 634400460 |
| Phone Number: | 5732093600 |
| Fax Number: | 5732093509 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |