Advanced Healthcare Surgical Center, Llc

LBN: Advanced Healthcare Surgical Center, Llc
Advanced Healthcare Surgical Center, Llc is an health care organization with primary practice located at 2002 Kanell Blvd , Poplar Bluff MO 63901-3967. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Advanced Healthcare Surgical Center, Llc can be contacted via phone (573) 778-9209, or through Hoja, John M via phone (573) 778-0020.

Contact Information

Primary practice address
2002 Kanell Blvd Poplar Bluff MO 63901-3967
Phone: (573) 778-9209
Fax: (573) 778-1647
Website:
Map and Directions
Authorized official contact:
Name: Hoja, John M Doctor of Medicine (MD)
Phone: (573) 778-0020

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 123-2 Missouri

Profile Details

NPI number 1801852520
LBN Legal business name Advanced Healthcare Surgical Center, Llc
DBA Doing business as
Authorized official Hoja, John M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2006
Last updated Sep 2nd, 2008 - about 17 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 1801852520 NPPES
Missouri MEDICAID 506063007

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