Alpha Advantage Mco

LBN: Alpha Advantage Mco
Alpha Advantage Mco is an health care organization with primary practice located at 6108 Community Pl Sw , Lakewood WA 98499-2447. The organization recently has 5 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Agencies / Supports Brokerage, Managed Care Organizations / Health Maintenance Organization, Suppliers / Customized Equipment, Transportation Services / Transportation Broker. Suppliers / Customized Equipment is the primary health care specialty. Alpha Advantage Mco can be contacted via phone (253) 468-7914, or through Marbury, Jeretha via phone (253) 468-7914.

Contact Information

Primary practice address
6108 Community Pl Sw Lakewood WA 98499-2447
Phone: (253) 468-7914
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marbury, Jeretha
Phone: (253) 468-7914

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X 602187014 Washington
Agencies / Supports Brokerage 251X00000X 602187014 Washington
Managed Care Organizations / Health Maintenance Organization 302R00000X 602187014 Washington
Suppliers / Customized Equipment 332BC3200X 602187014 Washington
Transportation Services / Transportation Broker 347E00000X 602187014 Washington

Profile Details

NPI number 1841568953
LBN Legal business name Alpha Advantage Mco
DBA Doing business as
Authorized official Marbury, Jeretha
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2011
Last updated Dec 2nd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841568953 NPPES
Washington MEDICAID 146954

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