| Heartland Resources, Inc. | |
|
108 East Main 108 East Main Ewing MO 63440-0460 | |
| (573) 209-3600 | |
| (573) 209-3509 |
| Full Name | Heartland Resources, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 108 East Main, Ewing, Missouri |
| Authorized Official Name and Position | Virgie Travelle Whitaker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5732093600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Resources, Inc. 108 East Main Street Ewing MO 63440-0460 Ph: (573) 209-3600 | Heartland Resources, Inc. 108 East Main 108 East Main Ewing MO 63440-0460 Ph: (573) 209-3600 |
| NPI Number | 1902973167 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902973167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |