Organization · NPI-2
Advent One
Family Medicine · Springfield, MO
NPI number1689488850
StatusActive
Last updated in NPPESJun 29, 2026
Details
- NPI
- 1689488850
- Entity type
- Organization (NPI-2)
- Legal business name
- Advent One
- Organization subpart
- No
- Enumeration date
- Feb 6, 2025
- Certification date
- Jun 29, 2026
- Last updated
- Jun 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Elevate Health Spravato Center (Doing Business As)
Practice location
1230 E Kingsley St Ste CSpringfield, MO 65804-7231
Phone 417-512-8788 · Fax 417-605-2831
Mailing address
1230 E Kingsley St Ste CSpringfield, MO 65804-7231
Phone 417-512-8788 · Fax 417-605-2831
Other practice locations
3646 S Campbell Ave
Springfield, MO 65807-5202
Springfield, MO 65807-5202
Phone 417-512-8788 · Fax 417-512-8788
Authorized official
Mehdi M Tajouri
Owner
4172698817
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