NPI 1265893549 · live from the CMS NPI Registry
Alpha Medical Group LLC
Family Medicine, Addiction Medicine in Marion, OH. National Provider Identifier 1265893549, active.
NPI record
| NPI | 1265893549 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 1043 Harding Memorial Pkwy, Marion, OH 43302 |
| Practice phone | 740-383-4090 |
| Mailing address | Po Box 119, Logan, WV 25601 |
| Enumerated | March 14, 2016 |
| Last updated | December 6, 2023 |
| Authorized official | Emad Mousa, Director |
| Other names | Alpha Addiction Advocates Treatment Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Addiction Medicine primary | 207QA0401X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.