OrganizationActive
Advanced Health Care Management Services, LLC
NPI 1306802632 · Podiatric Clinic/Center · Poplar Bluff, MO
Provider details
- NPI number
- 1306802632
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Advanced Health Care Management Services, LLC
- Authorized official
- Paula Harris, Chief Executive Officer
Practice location
2002 Kanell Blvd
Poplar Bluff, MO 63901-4045
Phone: (573) 785-4959
Fax: (573) 785-6405
Mailing address
Po Box 989
Poplar Bluff, MO 63902-0989
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2012-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.