| Alpha Recovery Center | |
|
1251 W Broad St Columbus OH 43222-1359 | |
| (614) 897-9252 | |
| (614) 737-5200 |
| Full Name | Alpha Recovery Center |
|---|---|
| Speciality | Registered Nurse |
| Location | 1251 W Broad St, Columbus, Ohio |
| Authorized Official Name and Position | Nkengafac Etchi (NP) |
| Authorized Official Contact | 6145844270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Recovery Center 313 Marjoram Dr Gahanna OH 43230-7027 Ph: (614) 584-4270 | Alpha Recovery Center 1251 W Broad St Columbus OH 43222-1359 Ph: (614) 897-9252 |
| NPI Number | 1639771975 |
|---|---|
| Provider Enumeration Date | 11/11/2020 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Medicare PECOS PAC ID | 2466837273 |
|---|---|
| Medicare Enrollment ID | O20230331000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639771975 | NPI | - | NPPES |
| Provider Name | Nkengafac Etchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376969204 PECOS PAC ID: 2860729001 Enrollment ID: I20190809001510 |
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