ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC (NPI# 1306802632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306802632 |
| Entity Type | Organization |
| Organization Name | ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC |
| Other Organization Name | ADVANCED FOOT & ANKLE CLINIC |
| Practice Address |
2002 Kanell Blvd Poplar Bluff MO 63901-4045 |
| Mailing Address |
Po Box 989 2002 Kanell Boulevard Poplar Bluff MO 63902-0989 |
| Practice Telephone | 5737854959 |
| Practice Fax Number | 5737856405 |
| Mailing Telephone | 5737780020 |
| Mailing Fax Number | 5737767548 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-03-09 |
| Authorized Official Name | PAULA E HARRIS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5737780020 |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 302717707 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Foot & Ankle Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285690644 | Advanced Health Care Management Services, LLC | General Acute Care Hospital | 100 Highway 21 N, Ellington, MO 63638-9409 | 2006-04-25 |
| 1871559245 | Advanced Health Care Management Services, LLC | Home Health | 350 E Walnut St, Ste 1, Ellington, MO 63638-8098 | 2006-04-25 |
| Street Address |
2002 KANELL BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-4045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576300 | Robert C Young | Obstetrics & Gynecology | 2002 Kanell Blvd, Ste 205, Poplar Bluff, MO 63901-4046 | 2005-05-27 |
| 1396189767 | Southeast Health Pharmacy LLC | Pharmacy | 2002 Kanell Blvd, Ste 102, Poplar Bluff, MO 63901-4045 | 2013-04-29 |
| 1780927871 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2013-03-27 |
| 1053659904 | Southeasthealth Hospital Holdings, LLC | Internal Medicine | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2013-01-28 |
| 1528336294 | Gary Luther Ward II | Family Medicine | 2002 Kanell Blvd, Suite 106, Poplar Bluff, MO 63901-4045 | 2011-12-08 |
| 1578617189 | Roger Richey | Nurse Practitioner | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2007-01-22 |
| 1124195391 | Advanced Healthcare Management Services, LLC | Clinic/Center | 2002 Kanell Blvd, Suite 101, Poplar Bluff, MO 63901-4042 | 2006-11-30 |
| 1659458198 | Jovito Pagkalinawan | Family Medicine | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2006-11-01 |
| 1295748465 | Robert C Young | Obstetrics & Gynecology | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4042 | 2006-08-15 |
| 1740246057 | Jimmy D Dachs | Counselor | 2002 Kanell Blvd, Suite 204, Poplar Bluff, MO 63901-4045 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829565 | Best Foot Forward Corp | Clinic/Center | 8790 Watson Rd Ste 103, Saint Louis, MO 63119-5140 | 2020-10-19 |
| 1093019713 | First Step Foot and Ankle | Clinic/Center | 806 Hwy 72 E, Rolla, MO 65401 | 2011-01-10 |
| 1215103536 | Southwest Foot Clinic, LLC | Clinic/Center | 2531 B East 32nd St, Joplin, MO 64804 | 2008-05-06 |
| 1437331790 | Advanced Foot Care Center, PC | Clinic/Center | 828 Sw Blue Pkwy, Lees Summit, MO 64063-3805 | 2007-11-28 |
| 1427614601 | Best Foot Forward Corp | Clinic/Center | 1455 Us Highway 61, Festus, MO 63028-4157 | 2019-05-14 |
| 1659685048 | Midwest Foot and Ankle Surgeons LLC | Clinic/Center | 1000 Des Peres Rd, Suite 120, Saint Louis, MO 63131-2050 | 2010-07-28 |
| 1447425988 | Missouri Podiatric Surgicare LLC | Clinic/Center | 851 E 5th St, Suite 228, Washington, MO 63090-3135 | 2008-04-25 |
| 1639366248 | Advanced Foot & Ankle Center Inc | Clinic/Center | 185 Oak Glenn, Cape Girardeau, MO 63701-8263 | 2007-09-27 |
| 1538384300 | Tracy M Reed, Dpm,llc | Clinic/Center | 5937 W Florissant Ave, Saint Louis, MO 63136-4952 | 2007-04-16 |
| 1922144344 | West Plains Foot and Ankle Clinic PC | Clinic/Center | 1566 Imperial Ctr, West Plains, MO 65775-1818 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.