ADVANCED HEALTHCARE CLINIC LLC (NPI# 1326464082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326464082 |
Entity Type | Organization |
Organization Name | ADVANCED HEALTHCARE CLINIC LLC |
Practice Address |
5 Williamson Dr Ste 300 Fairfield IL 62837-2370 |
Practice Telephone | 6188422012 |
Practice Fax Number | 6188422408 |
Mailing Telephone | 6188422012 |
Mailing Fax Number | 6188422408 |
Enumeration Date | 2014-03-05 |
Last Update Date | 2014-03-05 |
Authorized Official Name | DR. STEVEN RAY MILLER (OWNER/MANAGER) |
Authorized Official Telephone | 6188422012 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038.006854 | IL | Chiropractic Providers |
Street Address |
5 WILLIAMSON DR STE 300 |
City | FAIRFIELD |
State | IL |
Zip Code | 62837-2370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
Find all providers in zip 62837 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758725 | Tanner Ruberg | Chiropractor | 6101 Monastery Dr, Fairfield, OH 45014-4461 | 2020-04-06 |
1386116440 | John Boamah Jr. | Chiropractor | 1838 Black Rock Tpke Ste 2a, Fairfield, CT 06825-3501 | 2018-12-28 |
1750851804 | Virginia Applied Kinesiology LLC | Chiropractor | 206 E Burlington Ave, Fairfield, IA 52556-3117 | 2018-12-03 |
1881133304 | Andrew Nicholas Crape | Chiropractor | 1100 Kings Hwy E Ste 1c, Fairfield, CT 06825-5400 | 2017-02-16 |
1053859736 | Molloy Chiropractic LLC | Chiropractor | 264 Fairchild Ave, Fairfield, CT 06825-4872 | 2017-02-02 |
1437694411 | Vegacorp PC | Chiropractor | 2094 185th St., Suite 40, Fairfield, IA 52556-8758 | 2016-12-29 |
1114471315 | West Essex Chiropractic | Chiropractor | 54 Carlos Dr, Fairfield, NJ 07004-2117 | 2016-08-05 |
1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
1245647452 | Christopher Skelton | Chiropractor | 27 Halley Ct, Fairfield, CT 06825-5557 | 2014-07-20 |
1568899037 | Gary E Bocci Chiropractic, Inc | Chiropractor | 2801 Waterman Blvd Ste 260, Fairfield, CA 94534-2987 | 2013-09-30 |
Find all providers in FAIRFIELD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.