Provider Demographics
NPI:1518764521
Name:ADVANCED HEALTHCARE LLC
Entity type:Organization
Organization Name:ADVANCED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERSTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCELVAIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:623-910-2458
Mailing Address - Street 1:415 COLLIER ST
Mailing Address - Street 2:
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35957-3131
Mailing Address - Country:US
Mailing Address - Phone:623-910-2458
Mailing Address - Fax:
Practice Address - Street 1:3520 US HIGHWAY 431 STE 200
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-0081
Practice Address - Country:US
Practice Address - Phone:256-660-1265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty