ADVANCED HEART CARE – NPI #1356590178
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

ADVANCED HEART CARE is an AHC clinic located in BELLEVILLE, IL. NPPES has assigned the NPI number 1356590178 to ADVANCED HEART CARE on September 17, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 11 years ago on Jan 08, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED HEART CARE below.

NPI Profile for
ADVANCED HEART CARE

NPI Number
1356590178
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED HEART CARE
Primary location
4600 MEMORIAL DR
W3
BELLEVILLE, IL 62226-5366
Phone: (618) 222-8900 Fax: (618) 222-8950
Mailing address
PO BOX 23140
BELLEVILLE, IL 62223-0140
Phone: (618) 222-8900 Fax: (618) 222-8950
Organization Subpart
No
Authorized Official
OMAR ALMOUSALLI
OWNER
Phone: (618) 222-8900
Updated
Identifiers

Identifiers for ADVANCED HEART CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL0360973885
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
IL 036097388

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.