MEDICARE: ALPS HEALTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	363LF0000X	Family Nurse Practitioner
3	207RR0500X	Rheumatology Physician
4	261QI0500X	Infusion Therapy Clinic/Center

General Provider Information

NPI Number	:	1295471811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPS HEALTH, LLC

Provider Business Mailing Address
First Line	:	PO BOX 397
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-0397
Country	:	US
Telephone Number	:	417-719-4510
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 S RIDGECREST AVE STE 3C
Second Line	:
City	:	NIXA
State	:	MO
Zip	:	65714-6206
Country	:	US
Telephone Number	:	417-210-7003
Fax Number	:	417-210-7006

Authorized Official
Title or Position	:	SUPERVISOR CREDENTIALING AND BILLIN
Name	:	MICHELLE COOLEY
Credential	:
Telephone Number	:	417-989-0140

Provider Enumeration Date	:	05/06/2022
Last Update Date	:	04/17/2025

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Directions to “ALPS HEALTH, LLC ” Practice Location

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