Organization Active NPI

Alpha Omega Alliance Inc

Doing business as Riviera Beach Urgent & Primary Care

  • Urgent Care Clinic/Center
  • Riviera Beach, FL
National Provider Identifier
1578997573
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALPHA OMEGA ALLIANCE INC
Doing business as
Riviera Beach Urgent & Primary Care
Practice address
31 W 20TH St
Riviera Beach, FL 33404
Phone
(561) 229-1659
Fax
(561) 331-2715
NPI assigned
Aug 26, 2013
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Monique D Wellons
Title
Executive Director
Phone
(561) 899-9149

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

31 W 20TH St
Riviera Beach, FL 33404

Mailing address

31 W 20TH St
Riviera Beach, FL 33404-6155
Phone (561) 899-9140

Other identifiers 1

IdentifierTypeStateIssuer
015016000MedicaidFL

Other names 1

  • Riviera Beach Urgent & Primary Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1578997573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 20TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334046155",
            "telephone_number": "561-899-9140",
            "fax_number": "561-331-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 20TH ST",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "33404",
            "telephone_number": "561-229-1659",
            "fax_number": "561-331-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "WELLONS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-899-9149"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015016000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riviera Beach Urgent & Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.