| Heartland Aea 11 | |
|
6500 Corporate Drive Johnston IA 50131-1603 | |
| (515) 270-9030 | |
| (515) 270-5383 |
| Full Name | Heartland Aea 11 |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 6500 Corporate Drive, Johnston, Iowa |
| Authorized Official Name and Position | Randy Allisond (DIRECTOR OF SPECIAL EDUCATION) |
| Authorized Official Contact | 5152700405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Aea 11 6500 Corporate Drive Johnston IA 50131-1603 Ph: (515) 270-9030 | Heartland Aea 11 6500 Corporate Drive Johnston IA 50131-1603 Ph: (515) 270-9030 |
| NPI Number | 1073666954 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073666954 | NPI | - | NPPES |
| 0051110 | Medicaid | IA | |
| 0279695 | Medicaid | IA |
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