# NORTHSTAR HEALTHCARE ALPHA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346832623
- **Authorized official:** KELSEY BLEVINS (NATIONAL DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (901) 378-3561

## Contact information

- **Practice address:** 1540 APPLING CARE LN STE 100, CORDOVA, TN 38016-4947
- **Practice address phone:** (901) 202-0735
- **Practice address fax:** (901) 800-2487
- **Mailing address:** 1540 APPLING CARE LN STE 100, CORDOVA, TN 38016-4947
- **Mailing address phone:** (901) 378-3561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2021
- **Last updated:** 02/08/2021