Provider Demographics
NPI:1376246074
Name:ADVANCED HEALTHCARE CONCEPTS, INC.
Entity Type:Organization
Organization Name:ADVANCED HEALTHCARE CONCEPTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / HEALTHCARE PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C, FNP
Authorized Official - Phone:530-351-3209
Mailing Address - Street 1:2785 JOY ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8622
Mailing Address - Country:US
Mailing Address - Phone:530-351-3209
Mailing Address - Fax:
Practice Address - Street 1:3132 STATE ST STE 200
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8691
Practice Address - Country:US
Practice Address - Phone:458-225-9887
Practice Address - Fax:866-611-1993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty