ADVANCED HEALTH & REHAB LLC — NPI 1992762942 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in JOPLIN, MO)

CMS-1500 Box 24J / 33a • NPI

1992762942

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QM1300X (CMS 70)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

3120 S MAIN ST, STE 5, JOPLIN, MO, 64804-2608

✓ 9-Digit EDI 837 ZIP+4 (64804-2608)

Practice Phone & Referral Fax

(417) 782-2504

Fax: (417) 553-7760

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1992762942 (ADVANCED HEALTH & REHAB LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1992762942` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED HEALTH & REHAB LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QM1300X` (Clinic/Center, Multi-Specialty)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	3120 S MAIN ST, STE 5, JOPLIN, MO, 64804-2608
Practice Telephone / Fax	Tel: (417) 782-2504 \| Fax: (417) 553-7760
Administrative Mailing Address	3120 S MAIN ST, JOPLIN, MO, 64804-2608
Enumeration & Last Sync	Enumerated: 2006-04-26 \| CMS Record Updated: 2016-07-25
Authorized Official	JAMES LEWIS (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3120 S MAIN ST, STE 5, JOPLIN, MO, 64804-2608

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Plain-English Taxonomy & CMS Crosswalk (261QM1300X)

What Does Taxonomy Code 261QM1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM1300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 70 (Clinic or Group Practice)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED HEALTH & REHAB LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MO \| License: `20044021789` \| Primary: Secondary
`261QM1300X` — Clinic/Center, Multi-Specialty Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MO \| License: `006161` \| Primary: Yes (Primary)

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ADVANCED HEALTH & REHAB LLC (NPI #1992762942)