Organization
ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, L.L.C.
Active
Organization
ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, L.L.C.
Active
Other names
Advanced Medical Express Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL HOLTZ FNP-C (OWNER/CEO/PROVIDER)
(660) 268-4006
Entity
Organization
Contact information
Practice address
624 W LOCKLING ST, BROOKFIELD, MO 64628-2003
(660) 268-4006
(660) 258-9006
Mailing address
PO BOX 224, BROOKFIELD, MO 64628-0224
(660) 530-9992
(660) 530-9992
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
2014033136
MO
363LF0000X
Family Nurse Practitioner
Primary
2014033136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083088058
GROUP NPI ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, LLC
—
01
—
1518369024
INDIVIDUAL NPI MICHAEL HOLTZ FNP-C
—
01
—
1962492223
INDIVIDUAL NPI COLLAB. PHYS. TERRY THRASHER DO
—
Enumeration date
11/13/2015
Last updated
05/03/2018
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