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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