| Advanced Medical Express Clinic | |
|
624 W Lockling St Brookfield MO 64628-2003 | |
| (660) 268-4006 | |
| (660) 258-9006 |
| Full Name | Advanced Medical Express Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 624 W Lockling St, Brookfield, Missouri |
| Authorized Official Name and Position | Michael Paul Holtz (OWNER/CEO/PROVIDER) |
| Authorized Official Contact | 6602684006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Express Clinic Po Box 224 Brookfield MO 64628-0224 Ph: (660) 530-9992 | Advanced Medical Express Clinic 624 W Lockling St Brookfield MO 64628-2003 Ph: (660) 268-4006 |
| NPI Number | 1083088058 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 05/03/2018 |
| Medicare PECOS PAC ID | 6901103746 |
|---|---|
| Medicare Enrollment ID | O20160323000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083088058 | NPI | - | NPPES |
| 1083088058 | Other | GROUP NPI ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, LLC | |
| 1962492223 | Other | INDIVIDUAL NPI COLLAB. PHYS. TERRY THRASHER DO | |
| 1083088058 | Other | GROUP NPI DBA ADVANCED MEDICAL EXPRESS CLINIC | |
| 1518369024 | Other | INDIVIDUAL NPI MICHAEL HOLTZ FNP-C |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2014033136 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2014033136 (Missouri) | Primary |
| Provider Name | Vivian M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023159514 PECOS PAC ID: 9931231586 Enrollment ID: I20100716000337 |
| Provider Name | Terry L Thrasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962492223 PECOS PAC ID: 9830150325 Enrollment ID: I20101102001518 |
| Provider Name | Michael Holtz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518369024 PECOS PAC ID: 3274855762 Enrollment ID: I20141212000601 |
| Provider Name | Shirley Louise Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548821747 PECOS PAC ID: 7517391535 Enrollment ID: I20191230000756 |
Brookfield Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 E Lockling St, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409 | |
Brookfield Family Health Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 W. Lockling St, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409 | |
Applegate Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 E Lockling St, Brookfield, MO 64628 Phone: 660-258-1288 Fax: 660-258-4002 | |
Rivera & Concepcion Med Assoc Ptshp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N Main St, Brookfield, MO 64628 Phone: 660-258-3324 Fax: 660-258-3325 | |
Brookfield Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 West Lockling, Brookfield, MO 64628 Phone: 660-258-3363 Fax: 660-258-5409 | |
Brookfield Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 N Main St, Brookfield, MO 64628 Phone: 660-258-7544 Fax: 660-258-7577 |