| Organization Name: | ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC |
| NPI Number: | 1285690644 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAULA E. HARRIS (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 100 Highway 21 N Ellington |
| State: | MO US |
| Postal Code: | 636389409 |
| Phone Number: | 5736632511 |
| Fax Number: | 5736632815 |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 02/06/2013 |
| NPI Reactivation Date: | 07/30/2013 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 459-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |