Heartland Oncology & Hematology, Pllc, NPI 1386674786
Hematology & Oncology Physician in Council Bluffs, IA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1386674786
NPI Entity Type Organization
Provider Name Heartland Oncology & Hematology, Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1 Edmundson Pl, Suite 100, Council Bluffs, IA, US
Provider Mailing Address 1 Edmundson Pl, Suite 100, Council Bluffs, IA, US, 515034658
Is Sole Proprietor? No
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Organization Official

Official Name Penny A. Malcom
Official Position ADMINISTRATOR
Phone 712-322-4136

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 9701
License State IA
Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

Heartland Oncology & Hematology, Pllc
1 Edmundson Pl
Suite 100

Council Bluffs, IA, US

Phone: 712-322-4136
Fax: 712-322-8129

Mailing Address

Heartland Oncology & Hematology, Pllc
1 Edmundson Pl
Suite 100
Council Bluffs, IA, US
ZIP 515034658
Phone: 712-322-4136
Fax: 712-322-8129

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
G9534 IA RR MEDICARE 01
0197939 IA MEDICAID 05

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DR. M.D. Jorge H Perez-cardona

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