Advanced Health Care

LBN: William G. Craddock
Advanced Health Care is an health care organization with primary practice located at 104 Garner Ave , Madison TN 37115-2830. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. William G. Craddock can be contacted via phone (615) 612-0087, or through Clinard, Pete L. via phone (615) 612-0087.

Contact Information

Primary practice address
104 Garner Ave Madison TN 37115-2830
Phone: (615) 612-0087
Fax: (615) 612-0587
Website:
Map and Directions
Authorized official contact:
Name: Clinard, Pete L. ATS, CRTS
Phone: (615) 612-0087

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0000000650 Tennessee
Suppliers / Customized Equipment 332BC3200X 0000000650 Tennessee

Profile Details

NPI number 1477660967
LBN Legal business name William G. Craddock
DBA Doing business as Advanced Health Care
Authorized official Clinard, Pete L. ATS, CRTS
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 24th, 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 1477660967 NPPES
Tennessee Other 2179198 AETNA HMO
Tennessee MEDICAID 3035094 AETNA HMO
Tennessee MEDICAID 9027403600 AETNA HMO
Tennessee MEDICAID 1452195 AETNA HMO
Tennessee Other 55770104 AETNA HMO
Tennessee MEDICAID 7100005360 AETNA HMO
Tennessee Other 3035094 AETNA HMO

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