Organization
ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Active
Parent organization
ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Other names
Advanced Foot & Ankle Clinic
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
2002 KANELL BLVD, POPLAR BLUFF, MO 63901-4045
(573) 785-4959
(573) 785-6405
Mailing address
PO BOX 989, 2002 KANELL BOULEVARD, POPLAR BLUFF, MO 63902-0989
(573) 778-0020
(573) 776-7548
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302717707
—
MO
Enumeration date
04/25/2006
Last updated
03/09/2012
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