Organization
ADVANCED HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY K CAMPBELL PRESIDENT (CEO)
(256) 549-0630
Entity
Organization
Contact information
Practice address
302 BAY ST, GADSDEN, AL 35901
(256) 549-0630
(256) 549-0633
Mailing address
PO BOX 27, GADSDEN, AL 35902
(256) 549-0630
(256) 549-0633
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AL
3336H0001X
Home Infusion Therapy Pharmacy
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943212
—
AL
01
—
0128769
NCPDP
AL
05
—
100002920
—
AL
01
—
51057837
BCBS
AL
01
—
51516374
BCBS IV
AL
Enumeration date
08/04/2006
Last updated
02/01/2012
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