Organization Active NPI

Acute Alternative Medical Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Christiansted, VI
National Provider Identifier
1053567883
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
1144 Issued in VI
Legal business name
ACUTE ALTERNATIVE MEDICAL GROUP
Practice address
4000 Diamond Ruby Suite 3
Christiansted, VI 00820-4414
Phone
(340) 772-2883
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lyn Allen Campbell Jr., MDNPI 1619930930
Title
Medical Director/Owner
Phone
(340) 772-2883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X 1144 VI Primary

Addresses

Primary practice location

4000 Diamond Ruby Suite 3
Christiansted, VI 00820-4414

Mailing address

184C Estate Diamond Ruby
Christiansted, VI 00820-4424
Phone (340) 772-2883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080925000697 VI Part B Supplier - Clinic/Group Practice 0345317772 Receives reassigned benefits from 2 practitioners
Practice locations: Christiansted, VI

National Provider Directory

National Provider Directory

Locations

4000 Ruby Plz
Ste 3
Christiansted, VI 00820
Phone (340) 277-3524

4093 Diamond Ruby
Ste 7
St Croix, VI 00820
Phone (340) 772-2883

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1053567883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184C ESTATE DIAMOND RUBY",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204424",
            "telephone_number": "340-772-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 DIAMOND RUBY SUITE 3",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204414",
            "telephone_number": "340-772-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE ALTERNATIVE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LYN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "340-772-2883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VI",
            "license": "1144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.