Organization · Type 2 NPI

Advanced Healthcare Management Services, LLC

Clinic/Center · Poplar Bluff, MO

NPI number 1124195391 Active

Practice location

2002 Kanell Blvd, Suite 101
Poplar Bluff, MO 63901-4042

Call (573) 778-9292 Map

Fax (573) 778-0801

Mailing address

PO Box 989
Poplar Bluff, MO 63902-0989

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

15 other providers at this address

Other clinic/center providers in Poplar Bluff

See all in Poplar Bluff →

NPI record

NPI: 1124195391
Entity type: Organization (Type 2)
Issued: Nov 30, 2006
Last updated: Jul 10, 2009
Status: Active
Subpart: Yes of Advanced Healthcare Management Services, L.l.c.

Other names

<unavail>
Advanced Family Healthcare Clinic · doing business as

Authorized official

Paula E. Harris, NOT APPLICABLE
Chief Executive Officer
(573) 778-0020

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124195391

Advanced Healthcare Management Services, LLC's National Provider Identifier is 1124195391, issued on Nov 30, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jul 10, 2009.