OrganizationActive
Advanced Healthcare Surgical Center, LLC
NPI 1801852520 · Ambulatory Surgical Clinic/Center · Poplar Bluff, MO
Provider details
- NPI number
- 1801852520
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Hoja, Chairman/Authorized Official(573) 778-0020
- License
- 123-2 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2002 Kanell Blvd
Poplar Bluff, MO 63901-3967
Phone: (573) 778-9209
Fax: (573) 778-1647
Approximate (ZIP-level) locationGet directions
Mailing address
2002 Kanell Blvd
Poplar Bluff, MO 63901-3967
Registry dates
- Enumerated
- 2006-04-21
- Last updated
- 2008-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.