Advanced Foot & Ankle Clinic

LBN: Advanced Health Care Management Services, Llc
Advanced Foot & Ankle Clinic is an health care organization with primary practice located at 2002 Kanell Blvd , Poplar Bluff MO 63901-4045. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Advanced Health Care Management Services, Llc can be contacted via phone (573) 785-4959, or through Harris, Paula E via phone (573) 778-0020.

Contact Information

Primary practice address
2002 Kanell Blvd Poplar Bluff MO 63901-4045
Phone: (573) 785-4959
Fax: (573) 785-6405
Website:
Map and Directions
Authorized official contact:
Name: Harris, Paula E
Phone: (573) 778-0020

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1306802632
LBN Legal business name Advanced Health Care Management Services, Llc
DBA Doing business as Advanced Foot & Ankle Clinic
Authorized official Harris, Paula E
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 25th, 2006
Last updated Mar 9th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306802632 NPPES
Missouri MEDICAID 302717707

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