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ADVANCED FAMILY HEALTHCARE CLINIC
NPI 1124195391
Clinic/Center in Poplar Bluff, MO

Active since November 30, 2006
2002 KANELL BLVD, SUITE 101, POPLAR BLUFF, MO 63901(573) 778-9292(573) 778-0801 Get Directions Write a Review

NPPES record last updated: July 10, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Family Healthcare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED FAMILY HEALTHCARE CLINIC (NPI 1124195391) is a healthcare organization registered as a clinic/center in Poplar Bluff, Missouri and active in the NPI registry since November 2006. The organization lists Paula E. Harris, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124195391
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameADVANCED HEALTHCARE MANAGEMENT SERVICES, LLC
Location Address2002 KANELL BLVD, SUITE 101Poplar Bluff, MO 63901-4042
Mailing AddressPo Box 989Poplar Bluff, MO 63902-0989 · (573) 778-0020 · Fax (573) 686-2890
Phone(573) 778-9292
Fax(573) 778-0801
Organization SubpartYesParent: Advanced Healthcare Management Services, L.l.c.
Authorized OfficialPaula E. HarrisChief Executive Officer · (573) 778-0020
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 10, 2009
✔ NPI 1124195391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2002 KANELL BLVD, Poplar Bluff, MO 63901
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Other Names 1

Doing Business AsAdvanced Family Healthcare Clinic

Other Identifiers 2

Medicare PIN000013896MO
Medicare OSCAR/certification268573

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT C YOUNG, MD, FACOG
Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-9864
SOUTHEASTHEALTH HOSPITAL HOLDINGS, LLC
Family Medicine
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-0020
ROBERT C YOUNG
Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-9864
ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Clinic/Center (Podiatric)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-4959
SOUTHEAST HEALTH PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD, STE 102
POPLAR BLUFF, MO 63901
Butler County (573) 778-1608
ADVANCED HEALTHCARE MANAGEMENT SERVICES, LLC
Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD, SUITE 102
POPLAR BLUFF, MO 63901
Butler County (573) 778-1608
DR. ZACKWRIE S PARR D.P.M.
Podiatrist (Foot & Ankle Surgery)
2002 KANELL BLVD, SUITE 201
POPLAR BLUFF, MO 63901
Butler County (573) 785-4959
GARY LUTHER WARD II D.O.
Family Medicine
2002 KANELL BLVD, SUITE 106
POPLAR BLUFF, MO 63901
Butler County (573) 712-2546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Healthcare Management Services, LLC's NPI number?

The NPI number for Advanced Healthcare Management Services, LLC is 1124195391. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Advanced Family Healthcare Clinic.

Where is Advanced Healthcare Management Services, LLC located?

Advanced Healthcare Management Services, LLC is located at 2002 Kanell Blvd Suite 101, Poplar Bluff, MO 63901. The listed phone number is (573) 778-9292.

What is Advanced Healthcare Management Services, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Advanced Healthcare Management Services, LLC was last updated on July 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.