<Unavail>
LBN: Advance Care, Llc
<Unavail> is an health care organization with primary practice located at 14 Northtown Dr Ste 105 , Jackson MS 39211-3018. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Advance Care, Llc can be contacted via phone (601) 397-4079, or through Rollins, Tye via phone (601) 397-4079.
Contact Information
Primary practice address
14 Northtown Dr Ste 105
Jackson MS 39211-3018
Phone: (601) 397-4079
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X |
Profile Details
| NPI number | 1114427507 |
|---|---|
| LBN Legal business name | Advance Care, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Rollins, Tye |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2018 |
| Last updated | Jun 16th, 2018 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114427507 | NPPES |
| Mississippi | MEDICAID | 00855040 |
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