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Organization
ADVANCED MOBILE HEALTHCARE, LLC
Active
Organization
ADVANCED MOBILE HEALTHCARE, LLC
Active
Other names
Physician House Calls of Kansas
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALEX MELUGIN (CEO)
(316) 312-0002
Entity
Organization
Contact information
Practice address
3450 N ROCK RD STE 503, WICHITA, KS 67226-1355
(316) 312-0002
(316) 854-5644
Mailing address
3450 N ROCK RD STE 503, WICHITA, KS 67226-1355
(316) 312-0002
(316) 854-5644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-32303
KS
363LA2200X
Adult Health Nurse Practitioner
53-76590
KS
363LF0000X
Family Nurse Practitioner
45062
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229520C
—
KS
05
—
200769120A
—
KS
05
—
201104060B
—
KS
Enumeration date
06/07/2011
Last updated
02/23/2018
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