Organization
ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Active
Parent organization
ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Other names
Advanced Healthcare Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Authorized official
PAULA E. HARRIS (CHIEF EXECUTIVE OFFICER)
(573) 778-0020
Entity
Organization
Contact information
Practice address
100 HIGHWAY 21 N, ELLINGTON, MO 63638-9409
(573) 663-2511
(573) 663-2815
Mailing address
PO BOX 989, POPLAR BLUFF, MO 63902-0989
(573) 778-0020
(573) 776-7548
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
459-5
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010323707
—
MO
Enumeration date
04/25/2006
Last updated
07/30/2013
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