Healthcare Provider Details

I. General information

NPI: 1225976236
Provider Name (Legal Business Name): INADVANCE MEDICINE ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 E. BELTLINE SE SUITE 125
GRAND RAPIDS MI
49506
US

IV. Provider business mailing address

4343 EAST OUTLIER BLVD. SUITE 100W
PHOENIX AZ
85008-6507
US

V. Phone/Fax

Practice location:
  • Phone: 877-358-8648
  • Fax: 877-877-6875
Mailing address:
  • Phone: 877-356-8648
  • Fax: 877-877-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: JUANA SLACK
Title or Position: MEDICAL BILLING SPECIALIST
Credential:
Phone: 480-646-9086