NPI 1255776415

Heartland O&p INC.

Organisation Customized Equipment (DME) Winfield, KS

Practice location

Address: 22215 Tupper Street Suite B, Winfield, KS 67156
Phone: (620) 402-6789
Mailing address: PO Box 1163, Arkansas City, KS 67005-1163

Authorised official

Name: Joshua Blaine Pitts
Title: Owner
Phone: (620) 402-6789

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence C.P.O. 2980 (KS)

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Registry record

NPI: 1255776415
Entity type: Organization
NPI issued: 1 May 2013
Record last updated: 15 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.