Organization Active NPI

Alpha Maxx Healthcare Inc.

  • Exclusive Provider Organization
  • Memphis, TN
National Provider Identifier
1972644789
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
ALPHA MAXX HEALTHCARE INC.
Practice address
1407 Union Ave
Suite 802
Memphis, TN 38104-3627
Phone
(901) 259-5341
Fax
(901) 259-5344
NPI assigned
Feb 12, 2007
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mr. Charles Green Jr.
Title
President
Phone
(901) 259-5341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

1407 Union Ave
Suite 802
Memphis, TN 38104-3627

Mailing address

2095 Exeter Rd
Suite 80
Germantown, TN 38138-3946
Phone (901) 259-5341

National Provider Directory

National Provider Directory

Locations

1407 Union Ave
Ste 802
Memphis, TN 38104
Phone (901) 259-5341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1972644789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 EXETER RD",
            "address_2": "SUITE 80",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383946",
            "telephone_number": "901-259-5341",
            "fax_number": "901-259-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE",
            "address_2": "SUITE 802",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043627",
            "telephone_number": "901-259-5341",
            "fax_number": "901-259-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MAXX HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-259-5341",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.