Healthcare Provider Details
I. General information
NPI: 1487470639
Provider Name (Legal Business Name): ALPS HEALTH DPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/03/2024
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
105 S RIDGECREST AVE STE 3C
NIXA MO
65714-6206
US
IV. Provider business mailing address
PO BOX 397
NIXA MO
65714-0397
US
V. Phone/Fax
- Phone: 417-210-7003
- Fax: 417-210-7006
- Phone: 417-210-7003
- Fax: 417-210-7006
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONALD
G
SAVLEY
Title or Position: OWNER/CEO
Credential:
Phone: 417-989-0140