Provider Demographics
NPI:1053093344
Name:HEARTLAND HEALTHCARE PLLC
Entity type:Organization
Organization Name:HEARTLAND HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:J
Authorized Official - Last Name:STEVERMER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:507-381-5288
Mailing Address - Street 1:PO BOX 522
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:MN
Mailing Address - Zip Code:56098-0522
Mailing Address - Country:US
Mailing Address - Phone:507-893-3070
Mailing Address - Fax:
Practice Address - Street 1:1 MAIN ST N
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:MN
Practice Address - Zip Code:56098-2097
Practice Address - Country:US
Practice Address - Phone:507-893-3070
Practice Address - Fax:507-893-3072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty