Organization Active NPI

Advanced Patient Care, LLC

  • Family Medicine Physician
  • Hayti, MO
National Provider Identifier
1548744964
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.