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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