ADVANCED HEALTH & REHAB LLC NPI 1992762942

NPI Information

NPI: 1992762942
Provider Name: ADVANCED HEALTH & REHAB LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3120 S MAIN ST
STE 5
JOPLIN, MO
ZIP 64804
Phone: (417) 782-2504
Get Directions

ADVANCED HEALTH & REHAB LLC is a multi-specialty clinic center in Joplin, MO. ADVANCED HEALTH & REHAB LLC NPI is 1992762942. The provider is registered as an organization entity type.

The provider's business location address is:

3120 S MAIN ST
STE 5
JOPLIN, MO
ZIP 64804-608
Phone: (417) 782-2504
Fax: (417) 553-7760

The provider's authorized official is James R. Lewis .
The authorized official title is Administrator and has the following contact phone number (417) 782-2504.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 7/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	20044021789	MISSOURI	No
2	261QM1300X	Clinic/Center	Multi-Specialty	006161	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000014376	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	CHIROPRACTIC
2	266640	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	OUT PATIENT REHAB FACILIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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