MEDICARE: ALYXIS L ADAMS BA

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	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861989857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYXIS L ADAMS BA

Provider Business Mailing Address
First Line	:	6400 E BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2086
Country	:	US
Telephone Number	:	614-367-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 E BROAD ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2086
Country	:	US
Telephone Number	:	614-367-7700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2018
Last Update Date	:	01/29/2025

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