Advanced Health Care Management Services, LLC
Organization Active NPI Critical Access Hospital · Ellington, MO
NPI 1285690644 · NPPES record last updated Jul 30, 2013
Key facts
- NPI
- 1285690644
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 459-5 (MO)
- Legal business name
- ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
- Practice address
- 100 Highway 21 N
Ellington, MO 63638-9409 - Phone
- (573) 663-2511
- Fax
- (573) 663-2815
- NPI assigned
- Apr 25, 2006
- Reactivated
- Jul 30, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Authorized official
- Name
- Paula E. Harris
- Title
- Chief Executive Officer
- Phone
- (573) 778-0020
Member of 1
National Provider Directory
- Part of
- Adv Healthcare MGNT SVS LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 459-5 | MO | Yes |
Addresses
Primary practice location
100 Highway 21 N
Ellington, MO 63638-9409
Mailing address
PO Box 989
Poplar Bluff, MO 63902-0989
Phone (573) 778-0020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010323707 | Medicaid | MO |
Other names
- Advanced Healthcare Medical Center
Other providers in Ellington, MO
- Richelle Dee Adams
- Advanced Health Care Management Services, LLC
- Advanced Healthcare Management Services, LLC
- Ibukun T Akinyede
- Nickole Anderson
- Morgan Bader
All providers in Ellington, MO · Critical Access Hospital in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. 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.