Alpha Care Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20569 Issued in WV

Legal business name

ALPHA CARE CORPORATION

Practice address

4813 Maccorkle Ave SE
Charleston, WV 25304-1948

Phone

(304) 720-2017

Fax

(304) 720-0888

NPI assigned

Nov 1, 2006

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gai Louise Smythe, M.D.

Title

President/Owner

Phone

(304) 720-2017

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1891873683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4047",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253644047",
            "telephone_number": "304-720-2017",
            "fax_number": "304-720-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 MACCORKLE AVE SE",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253041948",
            "telephone_number": "304-720-2017",
            "fax_number": "304-720-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "SMYTHE",
        "authorized_official_first_name": "GAI",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "304-720-2017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "20569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806389000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Charleston, WV
• Providers in Charleston, WV by specialty
• Primary Care Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.