ALPHA ADVANTAGE MCO (NPI# 1841568953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841568953 |
| Entity Type | Organization |
| Organization Name | ALPHA ADVANTAGE MCO |
| Practice Address |
6108 Community Pl Sw Lakewood WA 98499-2447 |
| Mailing Address |
Po Box 112243 Tacoma WA 98411-2243 |
| Practice Telephone | 2534687914 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | MS. JERETHA MARBURY (CEO) |
| Authorized Official Telephone | 2534687914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | 602187014 | WA | Agencies |
| N | 251X00000X | Supports Brokerage | 602187014 | WA | Agencies |
| N | 302R00000X | Health Maintenance Organization | 602187014 | WA | Managed Care Organizations |
| N | 347E00000X | Transportation Broker | 602187014 | WA | Transportation Services |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
602187014 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 146954 | 05 |
| Street Address |
6108 COMMUNITY PL SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-2447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275502650 | Indra A Finch | Psychologist | 6108 Community Pl Sw, Suite 3, Lakewood, WA 98499-2447 | 2006-03-16 |
| 1447595103 | Puget Sound Mental Health Ps Inc. | Psychologist | 6108 Community Pl Sw, Suite 3, Lakewood, WA 98499-2447 | 2012-12-06 |
| 1093880973 | Patricia Susan Swanson | Counselor | 6108 Community Pl Sw, Suite 3, Lakewood, WA 98499-2447 | 2006-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106401 | Acclaimed Healthcare Inc. | Durable Medical Equipment & Medical Supplies | 895 Towbin Ave Ste 5, Lakewood, NJ 08701-5971 | 2018-12-28 |
| 1346711884 | Capstone Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9501 Lakewood Dr Sw Bldg 24, Lakewood, WA 98499-5961 | 2018-12-10 |
| 1720503386 | Silvercare Custom Wheelchair Specialist | Durable Medical Equipment & Medical Supplies | 1770 W County Line Road, Suite 101, Lakewood, NJ 08701 | 2017-08-04 |
| 1679002356 | Rocky Mountain Anaplastology Inc | Durable Medical Equipment & Medical Supplies | 3405 S Yarrow St Unit C, Lakewood, CO 80227-4901 | 2017-06-07 |
| 1720432826 | Ascent Mobility Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 747 Sheridan Blvd Unit 4b, Lakewood, CO 80214-2560 | 2016-04-15 |
| 1477872828 | West Park Health Inc. | Durable Medical Equipment & Medical Supplies | 216 River Ave, Lakewood, NJ 08701-4807 | 2010-05-25 |
| 1700034360 | Tj Entpz of Colo Inc | Durable Medical Equipment & Medical Supplies | 7978 W Alameda Ave, Unit D, Lakewood, CO 80226-3086 | 2008-09-08 |
| 1295901494 | Imperial Eyewear | Durable Medical Equipment & Medical Supplies | 227 River Avenue, Lakewood, NJ 08701 | 2008-05-07 |
| 1861566523 | Atg-colorado Inc | Durable Medical Equipment & Medical Supplies | 9197 W 6th Ave, Suite 1000, Lakewood, CO 80215-5109 | 2006-11-17 |
| 1841270154 | Oxygen Plus Inc | Durable Medical Equipment & Medical Supplies | 3265 S Wadsworth Blvd, Bldg. 2, Unit J, Lakewood, CO 80227-5027 | 2006-01-20 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.