Alpha Management Services, Inc

Organization Active NPI Community/Behavioral Health Agency · Roanoke Rapids, NC

NPI 1487770657 · NPPES record last updated Nov 6, 2007

Key facts

NPI
1487770657
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ALPHA MANAGEMENT SERVICES, INC
Practice address
413 Becker Dr
Roanoke Rapids, NC 27870-3301
Phone
(252) 519-0801
Fax
(252) 519-0496
NPI assigned
Mar 21, 2007
Organization subpart
No

Authorized official

Name
Olante Waston
Title
Executive Director
Phone
(919) 419-0043

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Alpha Management Services Inc (20 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

413 Becker Dr
Roanoke Rapids, NC 27870-3301

Mailing address

2 Consultant PL
Durham, NC 27707-3598
Phone (919) 419-0043

Other identifiers

IdentifierTypeStateIssuer
8301421GMedicaidNC
8301421MedicaidNC
8301421BMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 6, 2007.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1487770657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CONSULTANT PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073598",
            "telephone_number": "919-419-0043",
            "fax_number": "919-489-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 BECKER DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703301",
            "telephone_number": "252-519-0801",
            "fax_number": "252-519-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MANAGEMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "WASTON",
        "authorized_official_first_name": "OLANTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-419-0043"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301421G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301421",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301421B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

All providers in Roanoke Rapids, NC · Community/Behavioral Health Agency in North Carolina

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