| Advanced Senior Care | |
|
910 N College Ave Ste 4 Columbia MO 65201-4797 | |
| (636) 642-1215 | |
| (573) 234-4799 |
| Full Name | Advanced Senior Care |
|---|---|
| Speciality | Family Medicine |
| Location | 910 N College Ave Ste 4, Columbia, Missouri |
| Authorized Official Name and Position | Bradley Beaird (OWNER) |
| Authorized Official Contact | 6366421215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Senior Care 910 N College Ave Ste 4 Columbia MO 65201-4797 Ph: (636) 642-1215 | Advanced Senior Care 910 N College Ave Ste 4 Columbia MO 65201-4797 Ph: (636) 642-1215 |
| NPI Number | 1245087295 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 06/06/2024 |
| Medicare PECOS PAC ID | 1052853421 |
|---|---|
| Medicare Enrollment ID | O20240613000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245087295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David T James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033398771 PECOS PAC ID: 0941355697 Enrollment ID: I20120816000084 |
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