Provider Demographics
NPI:1932105525
Name:ADVANCED MEDICAL SOLUTIONS INC
Entity type:Organization
Organization Name:ADVANCED MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
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 1:106 W GRAND RIVER AVE
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843
Practice Address - Country:US
Practice Address - Phone:517-548-1443
Practice Address - Fax:517-548-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-28
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0537400332B00000X
MI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI500395OtherPREFERRED CHOICES
MI121457OtherGREAT LAKES
MI2733831Medicaid
MI343510001OtherHAP
MI500395OtherCARE CHOICE
MI1591OtherCAPE HEALTH PLAN
MI540D702870OtherBCBSM
MI343510001OtherHAP