HEARTLAND ALLIANCE HEALTH
NPI 1538294483
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Q: What is Heartland Alliance Health's NPI number?

The NPI number for Heartland Alliance Health is 1538294483. It was assigned to this organization in the NPPES registry on February 22, 2007. The provider was formerly known as Heartland Health Outreach, Inc. and Chicago Health Outreach.

Q: 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.

Active since February 22, 2007

4009 N BROADWAY ST, CHICAGO, IL 60613(773) 275-2586(773) 751-4175 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 1, 2024, Jul 21, 2022, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

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About Heartland Alliance Health NPPES

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

HEARTLAND ALLIANCE HEALTH (NPI 1538294483), 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 February 2007. The organization lists Jimmy Valentin, Sr. Director, Health Information Sy, as its authorized official.

NPPES Registry Identity

NPI1538294483

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameHEARTLAND ALLIANCE HEALTH

Location Address4009 N BROADWAY STChicago, IL 60613-2110

Mailing Address4009 N Broadway StChicago, IL 60613-2110 · (773) 275-2586 · Fax (773) 751-4175

Phone(773) 275-2586

Fax(773) 751-4175

Organization SubpartNo

Authorized OfficialJimmy ValentinSr. Director, Health Information Sy · (773) 220-8562

Enumeration DateFebruary 22, 2007

Last NPPES UpdateApril 1, 20244 updates tracked since enumeration

NPPES CertifiedApril 1, 2024

✔ NPI 1538294483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

4009 N BROADWAY ST, Chicago, IL 60613

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Other Names 2

Former Legal Business NameHeartland Health Outreach, Inc.

Former Legal Business NameChicago Health Outreach

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heartland Alliance Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Heartland Alliance Health, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.