Organization Active NPI

Alpha & Omega Health Care Providers

  • Health Maintenance Organization
  • Huntsville, AL
National Provider Identifier
1144698358
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
1-134759 Issued in AL
Legal business name
ALPHA & OMEGA HEALTH CARE PROVIDERS
Practice address
645 Wynn Dr NW
Unit 5892
Huntsville, AL 35814-6001
Phone
(347) 683-8141
NPI assigned
Sep 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Denise JohnsonNPI 1407242795
Title
CRNP
Phone
(347) 683-8141

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
Health Maintenance Organization 302R00000X 1-134759 AL Primary

Addresses

Primary practice location

645 Wynn Dr NW
Unit 5892
Huntsville, AL 35814-6001

Mailing address

645 Wynn Dr NW
Unit 5892
Huntsville, AL 35814-6001
Phone (347) 683-8141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221000864 AL Part B Supplier - Clinic/Group Practice 7012218076 Receives reassigned benefits from 3 practitioners
Practice locations: Huntsville, AL

National Provider Directory

National Provider Directory

Locations

645 Wynn Dr NW
Unit 5892
Huntsville, AL 35814
Phone (347) 683-8141

3400 Blue Spring Rd NW
Ste CA9
Huntsville, AL 35810
Phone (866) 220-3383

Practitioners & affiliated clinicians

Practitioners 3

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": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1144698358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WYNN DR NW",
            "address_2": "UNIT 5892",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358146001",
            "telephone_number": "347-683-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WYNN DR NW",
            "address_2": "UNIT 5892",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358146001",
            "telephone_number": "347-683-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA & OMEGA HEALTH CARE PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "347-683-8141"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AL",
            "license": "1-134759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.