MEDICARE: DISPATCHHEALTH ADVANCED CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1184290314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISPATCHHEALTH ADVANCED CARE LLC

Provider Business Mailing Address
First Line	:	3827 N LAFAYETTE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-3339
Country	:	US
Telephone Number	:	303-500-1815
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 GLEN FOREST DR STE 106
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-3768
Country	:	US
Telephone Number	:	804-495-0053
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICK PALMER KNEELAND
Credential	:	MD
Telephone Number	:	720-530-4985

Provider Enumeration Date	:	05/28/2021
Last Update Date	:	05/27/2025

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