Healthcare Provider Details

I. General information

NPI: 1811810153
Provider Name (Legal Business Name): ALTURA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S KUTHER RD
SIDNEY OH
45365-8855
US

IV. Provider business mailing address

1330 CASTLE CT
SIDNEY OH
45365-3581
US

V. Phone/Fax

Practice location:
  • Phone: 937-493-4651
  • Fax:
Mailing address:
  • Phone: 937-726-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALISA ELLIOTT
Title or Position: NURSE PRACTITIONER
Credential: CNP
Phone: 937-726-6240