| Alpha Medical & Behavioral Health | |
|
800 Corporate Dr Ste 301 Stafford VA 22554-4889 | |
| (571) 398-0473 | |
| Not Available |
| Full Name | Alpha Medical & Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Corporate Dr Ste 301, Stafford, Virginia |
| Authorized Official Name and Position | Ruby Anumah (NURE PRACTITIONER) |
| Authorized Official Contact | 5712753125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Medical & Behavioral Health 800 Corporate Dr Ste 301 Stafford VA 22554-4889 Ph: (571) 398-0473 | Alpha Medical & Behavioral Health 800 Corporate Dr Ste 301 Stafford VA 22554-4889 Ph: (571) 398-0473 |
| NPI Number | 1831821784 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Medicare PECOS PAC ID | 1759746795 |
|---|---|
| Medicare Enrollment ID | O20230427000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831821784 | NPI | - | NPPES |
| 1255698635 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Ruby Anumah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255698635 PECOS PAC ID: 7810150885 Enrollment ID: I20160202001548 |
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