MEDICARE: ALPHA URGENT CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1073304416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA URGENT CARE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 38085
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-1222
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2590 S ADAMS RD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-5508
Country	:	US
Telephone Number	:	248-801-9274
Fax Number	:

Authorized Official
Title or Position	:	BILLING MANANGER
Name	:	ROSA ROBERTS
Credential	:
Telephone Number	:	970-600-1589

Provider Enumeration Date	:	05/15/2025
Last Update Date	:	05/15/2025

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