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ADVANCED HEALING SOLUTIONS LLC NPI 1780089821


NPI Information

NPI: 1780089821
Provider Name: ADVANCED HEALING SOLUTIONS LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 25D2086332

Address:
5221B CLIFF GOOKIN BLVD
TUPELO, MS
ZIP 38801
Phone: (662) 620-8123
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ADVANCED HEALING SOLUTIONS LLC is an emergency medicine in Tupelo, MS. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ADVANCED HEALING SOLUTIONS LLC NPI is 1780089821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5221B CLIFF GOOKIN BLVD
TUPELO, MS
ZIP 38801-781
Phone: (662) 620-8123
Fax: (662) 620-8131

The provider's authorized official is L Lambert .
The authorized official title is Physcian/owner and has the following contact phone number (662) 620-8123.

The CLIA number assigned to this NPI record is 25D2086332 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2014 and was last updated on 10/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine05804MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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