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HEARTLAND ALLIANCE HEALTH
NPI 1306279070
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since August 16, 2013CLIA Certified · 2 labs
932 W WASHINGTON BLVD FL 2, CHICAGO, IL 60607(773) 275-2586 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 15, 2020, Oct 31, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Heartland Alliance Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLAND ALLIANCE HEALTH (NPI 1306279070), doing business as Heartland Health Outreach, Inc., is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since August 2013. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Chicago, and lists Edward Stellon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1306279070
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHEARTLAND ALLIANCE HEALTH
Location Address932 W WASHINGTON BLVD FL 2Chicago, IL 60607-2217
Mailing Address1015 W Lawrence AveChicago, IL 60640-5017 · (773) 751-4129
Phone(773) 275-2586
Organization SubpartYesParent: Heartland Health Outreach Inc
Authorized OfficialEdward StellonExecutive Director · (312) 405-0802
Enumeration DateAugust 16, 2013
Last NPPES UpdateOctober 15, 20203 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1306279070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in IL · 38369
932 W WASHINGTON BLVD FL 2, Chicago, IL 60607
Open in Google Maps ↗

Other Names 2

Former Legal Business NameHeartland Health Outreach, Inc.
Other NameHeartland Alliance Health - James West

Secondary Practice Location 1

Location 11015 W Lawrence Ave, 2nd FloorChicago, IL 60640-5017 · Phone (773) 751-1731 · Fax (773) 751-4175

Other Identifiers 2

Medicaid1306279070IL
Other2283208IL · Business License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2138223

Heartland Alliance Health - Englewood · Chicago, IL
Active · expires Oct 11, 2027
CLIA Number14D2138223
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorBruce Doblin M D
Laboratory Phone(773) 275-2586
Laboratory LocationHeartland Alliance Health - Englewood5501 S Halsted, Chicago, IL 60621
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0693009

Heartland Alliance Health · Chicago, IL
Active · expires Jun 10, 2027
CLIA Number14D0693009
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorLee Braam
Laboratory Phone(773) 275-2586
Laboratory LocationHeartland Alliance Health4009 N Broadway, Chicago, IL 60613
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartland Alliance Health's NPI number?

The NPI number for Heartland Alliance Health is 1306279070. It was assigned to this organization in the NPPES registry on August 16, 2013. The provider is also known as Heartland Alliance Health - James West. The provider was formerly known as Heartland Health Outreach, Inc..

Where is Heartland Alliance Health located?

Heartland Alliance Health is located at 932 W Washington Blvd Fl 2, Chicago, IL 60607. The listed phone number is (773) 275-2586.

What is Heartland Alliance Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Heartland Alliance Health hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Heartland Alliance Health accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Heartland Alliance Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heartland Alliance Health was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.