ALPHA MEDICAL GROUP LLC (NPI# 1265893549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265893549 |
| Entity Type | Organization |
| Organization Name | ALPHA MEDICAL GROUP LLC |
| Other Organization Name | ALPHA ADDICTION ADVOCATES TREATMENT CENTER |
| Practice Address |
1043 Harding Memorial Pkwy Marion OH 43302-6315 |
| Mailing Address |
Po Box 119 Logan WV 25601-0119 |
| Practice Telephone | 7403834090 |
| Practice Fax Number | 7403832850 |
| Mailing Telephone | 3048965200 |
| Mailing Fax Number | 3048965300 |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | EMAD Y MOUSA (DIRECTOR) |
| Authorized Official Telephone | 7403834090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2873029 | 05 |
| Other Name | Type Code |
|---|---|
| Alpha Addiction Advocates Treatment Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 77 Hospital Dr Ste 200, Logan, WV 256013451 | 3048965200 | 3048965300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639568470 | Alpha Medical Group LLC | Chiropractor | 3126 S Higley Rd Ste 102, Gilbert, AZ 85295-2030 | 2015-01-16 |
| Street Address |
1043 HARDING MEMORIAL PKWY |
| City | MARION |
| State | OH |
| Zip Code | 43302-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316270879 | Obgyn Womens Health Center, LLC | Clinic/Center | 1043 Harding Memorial Pkwy, Marion, OH 43302-6315 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1831582758 | Mid- South Rheumatology & Internal Medicine | Clinic/Center | 612 River Oaks Dr, Marion, AR 72364-9048 | 2015-03-17 |
| 1275006744 | Marion Diagnostic Center LLC | Clinic/Center | 3003 Civic Circle Blvd Ste 200, Marion, IL 62959-5259 | 2019-01-08 |
| 1447209119 | Livingston Hospital and Healthcare Services, Inc., Cah | Clinic/Center | 220 S Main St, Marion, KY 42064-1543 | 2006-05-09 |
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| 1225661986 | Partners In Recovery Inc | Clinic/Center | 1925 E. Livingston Ave, Suite 403, Columbus, OH 43209 | 2020-02-20 |
| 1073150009 | Redefined Counseling and Consulting | Clinic/Center | 8251 Mayfield Rd Ste 200, Chesterland, OH 44026-2567 | 2019-12-10 |
| 1861040099 | Proactive Immediate Care Clinic, LLC | Clinic/Center | 1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 | 2019-08-30 |
| 1740837160 | Bf Empowerment Center LLC | Clinic/Center | 526 S Main St Ste 107, Akron, OH 44311-4401 | 2019-08-20 |
| 1497218077 | Wecare Tlc- Frontpath | Clinic/Center | 1090 W South Boundary St Ste 200, Perrysburg, OH 43551-5278 | 2019-04-10 |
| 1013474857 | Dose Anesthesia | Clinic/Center | 5423 Mahoning Ave Ste G, Austintown, OH 44515-2435 | 2019-02-28 |
| 1962986372 | Shannon Jap Md LLC | Clinic/Center | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.