Healthcare Provider Details

I. General information

NPI: 1598132854
Provider Name (Legal Business Name): RX ALLIANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 E LONG ST SUITE 501
COLUMBUS OH
43215-2915
US

IV. Provider business mailing address

5 E LONG ST SUITE 501
COLUMBUS OH
43215-2915
US

V. Phone/Fax

Practice location:
  • Phone: 614-648-0515
  • Fax: 855-853-8870
Mailing address:
  • Phone: 614-648-0515
  • Fax: 855-853-8870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES E STURMI
Title or Position: OWNER
Credential: MD
Phone: 614-648-0515