Active NPI
Advanced Patient Care, LLC
- Family Medicine Physician
- Hayti, MO
National Provider Identifier
1548744964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVANCED PATIENT CARE, LLC
- Practice address
- 907 E Reed St
Hayti, MO 63851-1242 - Phone
- (573) 359-3660
- Fax
- (573) 359-3521
- NPI assigned
- Sep 21, 2018
- Last updated
- Sep 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Haynes
- Title
- Ceo
- Phone
- (573) 359-2930
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
907 E Reed St
Hayti, MO 63851-1242
Mailing address
PO Box 544
Hayti, MO 63851-0544
Phone (573) 359-2930
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537488000000",
"number": "1548744964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 544",
"city": "HAYTI",
"state": "MO",
"postal_code": "638510544",
"telephone_number": "573-359-2930",
"fax_number": "573-359-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E REED ST",
"city": "HAYTI",
"state": "MO",
"postal_code": "638511242",
"telephone_number": "573-359-3660",
"fax_number": "573-359-3521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PATIENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A",
"authorized_official_last_name": "HAYNES",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "573-359-2930"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.