HEARTLAND COMMUNITY HEALTH CLINIC
NPI 1336193861
Clinic/Center - Federally Qualified Health Center (FQHC) in Peoria, IL
NPI Status: Active since May 20, 2006
Contact Information
1701 W GARDEN ST
PEORIA, IL
ZIP 61605
Phone: (309) 680-7600
Fax: (309) 680-7686
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 14D1054065
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 07-09-2025
About HEARTLAND COMMUNITY HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Heartland Community Health Clinic, a primary care provider established in Peoria, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1336193861 assigned on May 2006. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated July 2025. The provider's
- NPI
- 1336193861
- Provider Legal Name
- HEARTLAND COMMUNITY HEALTH CLINIC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1701 W GARDEN ST PEORIA, IL 61605
- Location Phone
- (309) 680-7600
- Location Fax
- (309) 680-7686
- Mailing Address
- 2214 N UNIVERSITY ST PEORIA, IL 61604
- Mailing Phone
- (309) 680-7600
- Mailing Fax
- (309) 680-7686
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2006
- Last Update Date
- 07-23-2025
- Code Navigator
A primary care provider (PCP) like Heartland Community Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1054065
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- July 10, 2023
- Certificate Expiration Date
- July 09, 2025
- Laboratory Director
- SARAH R. KOSCICA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heartland Community Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for HEARTLAND COMMUNITY HEALTH CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 1 | 9 | 3 | 8 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 9 | 6 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 9 + 6 + 8 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1336193861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790889392 | SANDRA K. LEMAN PA-C Individual | Physician Assistant | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1710210711 | MS. AMY M. LIGHT LCPC Individual | Counselor (Mental Health) | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1467546218 | GREGG D STONER MD Individual | Family Medicine | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1053662783 | EDWARD E ETHERTON NP Individual | Nurse Practitioner | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1003814625 | SARAH R KOSCICA MD Individual | Family Medicine | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1487054425 | KATHRYN M ENDRESS NP Individual | Nurse Practitioner (Family) | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1063825446 | MARCUS ISMEDHI MUTIDJO APN Individual | Nurse Practitioner (Family) | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1285767087 | DAVID L GORENZ M.D. Individual | Internal Medicine (Pulmonary Disease) | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1902951957 | TINA R SADDLER APN Individual | Nurse Practitioner (Family) | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
| 1306865084 | DR. BONNIE SMITH M.D. Individual | Family Medicine | 1701 W GARDEN ST PEORIA, IL 61605 (309) 680-7600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336193861, enumerated in the NPI registry as an "organization" on May 20, 2006
The provider is located at 1701 W Garden St Peoria, Il 61605 and the phone number is (309) 680-7600
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Aetna CVS Health and Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D1054065 for a "federally qualified health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.