Advanced Family Medicine Llc
LBN: Advanced Family Medicine Llc
Advanced Family Medicine Llc is an health care organization with primary practice located at 4160 Broadway , Grove City OH 43123-3024. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Advanced Family Medicine Llc can be contacted via phone (614) 875-0079, or through Johnson, James Cameron via phone (614) 875-0079.
Contact Information
Primary practice address
4160 Broadway
Grove City OH 43123-3024
Phone: (614) 875-0079
Fax:
Website:
Authorized official contact:
Name: Johnson, James Cameron Doctor of Osteopathy (DO)
Phone: (614) 875-0079
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ||
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1346984242 |
|---|---|
| LBN Legal business name | Advanced Family Medicine Llc |
| DBA Doing business as | |
| Authorized official | Johnson, James Cameron Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 26th, 2022 |
| Last updated | Apr 26th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346984242 | NPPES |
| Ohio | Other | 01-8755 | OHIO DEPARTMENT MENTAL HEALTH AND SUBSTANCE ABUSE CERTIFICATION |
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