| Heartland Patient Care, Pllc | |
|
914 N Dixie Ave Suite 302 Elizabethtown KY 42701-2520 | |
| (270) 769-0892 | |
| (270) 769-1857 |
| Full Name | Heartland Patient Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 914 N Dixie Ave, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Ayaz Ahmed (PRESIDENT) |
| Authorized Official Contact | 2707690040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Patient Care, Pllc 1503 Manchester Dr Elizabethtown KY 42701-7905 Ph: (270) 769-0040 | Heartland Patient Care, Pllc 914 N Dixie Ave Suite 302 Elizabethtown KY 42701-2520 Ph: (270) 769-0892 |
| NPI Number | 1043423429 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 11/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043423429 | NPI | - | NPPES |
| 7100217980 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32313 (Kentucky) | Primary |
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