| Heartland Human Services | |
|
800 Kelly Dr Sw Clay City IL 62824-1155 | |
| (217) 347-7179 | |
| Not Available |
| Full Name | Heartland Human Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 800 Kelly Dr Sw, Clay City, Illinois |
| Authorized Official Name and Position | Shannon Quandt (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2173477179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Human Services Po Box 1047 Effingham IL 62401-1047 Ph: (217) 347-7179 | Heartland Human Services 800 Kelly Dr Sw Clay City IL 62824-1155 Ph: (217) 347-7179 |
| NPI Number | 1306408943 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 07/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306408943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |