Advanced Medical House Call and Telemedicine, L.L.C.
Organization Active NPI Family Nurse Practitioner · Brookfield, MO
NPI 1083088058 · NPPES record last updated May 3, 2018
Key facts
- NPI
- 1083088058
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2014033136 (MO)
- Legal business name
- ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, L.L.C.
- Practice address
- 624 W Lockling St
Brookfield, MO 64628-2003 - Phone
- (660) 268-4006
- Fax
- (660) 258-9006
- NPI assigned
- Nov 13, 2015
- Organization subpart
- No
Authorized official
- Name
- Michael Paul Holtz, FNP-C
- Title
- Owner/Ceo/Provider
- Phone
- (660) 268-4006
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 2014033136 | MO | |
| Family Nurse Practitioner |
363LF0000X | 2014033136 | MO | Yes |
Addresses
Primary practice location
624 W Lockling St
Brookfield, MO 64628-2003
Mailing address
PO Box 224
Brookfield, MO 64628-0224
Phone (660) 530-9992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083088058 | Other | GROUP NPI ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, LLC | |
| 1962492223 | Other | INDIVIDUAL NPI COLLAB. PHYS. TERRY THRASHER DO | |
| 1083088058 | Other | GROUP NPI DBA ADVANCED MEDICAL EXPRESS CLINIC | |
| 1518369024 | Other | INDIVIDUAL NPI MICHAEL HOLTZ FNP-C |
Other names
- Advanced Medical Express Clinic
Other providers in Brookfield, MO
- Duncan O Abongo
- Russell Todd Allen
- Anew Healthcare Operations - Brookfield, LLC
- Robyn Raquel Armstrong
- Shirley Louise Arnold
- Patsy L. Asher
All providers in Brookfield, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.