1215187471 NPI number — ADVANCED MEDICAL CENTER, INC.

Table of content: (NPI 1215187471)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215187471 NPI number — ADVANCED MEDICAL CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED MEDICAL CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215187471
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/04/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
491 UNIVERSITY AVE W
Provider Second Line Business Mailing Address:
SUITE# B
Provider Business Mailing Address City Name:
SAINT PAUL
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55103-1936
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
651-771-5778
Provider Business Mailing Address Fax Number:
651-771-5775

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
491 UNIVERSITY AVE W
Provider Second Line Business Practice Location Address:
SUITE# B
Provider Business Practice Location Address City Name:
SAINT PAUL
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55103-1936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
651-771-5778
Provider Business Practice Location Address Fax Number:
651-771-5775
Provider Enumeration Date:
09/24/2008

Additional Information

Authorized Official

Authorized Official Last Name:
YANG
Authorized Official First Name:
PETER
Authorized Official Middle Name:
THAI
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
651-771-5778

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  44150 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 529105400 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".




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