Provider Demographics
NPI:1629294590
Name:ADVANCED MEDICAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:ADVANCED MEDICAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-248-2229
Mailing Address - Street 1:106 W GRAND RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-2237
Mailing Address - Country:US
Mailing Address - Phone:517-548-1443
Mailing Address - Fax:517-548-1588
Practice Address - Street 1:5059 W GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:FOWLERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48836-8570
Practice Address - Country:US
Practice Address - Phone:517-223-8243
Practice Address - Fax:517-548-6749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540D711810OtherBCBSM
MI5183727Medicaid
MI0343510006Medicare NSC