Alliance Medical Center in Healdsburg - Federally Qualified Health Center (fqhc)
Alliance Medical Center - NPI 1639376726
Alliance Medical Center is a Federally Qualified Health Center (fqhc) in Healdsburg, California. Alliance Medical Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Alliance Medical Center is 1639376726. The last update date is 2020-07-30.
Alliance Medical Center's current location address is 1381 University St, Healdsburg, California. You can contact this provider via phone number 7074335494 and fax number 7073852157. The mailing address for Alliance Medical Center is 1381 University St, Healdsburg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alliance Medical Center |
|---|---|
| Address | 1381 University St, Healdsburg, California |
| Phone Number | 7074335494 |
| Fax Number | 7073852157 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Churchill Joan |
| Telephone Number | 7073852306 |
NPI Number Detail
| NPI Number | 1639376726 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2020-07-30 |
Provider Mailing Address Detail
| Address | 1381 University St |
|---|---|
| City | Healdsburg |
| State | California (CA) |
| Post Code | 954483314 |
| Phone Number | 7074335494 |
| Fax Number | 7073852157 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | EAP03923F |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| EAP03923F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Alliance Medical Center by the Centers for Medicare & Medicaid Services?
The Alliance Medical Center has been issued the NPI (National Provider Identifier) 1639376726, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Alliance Medical Center is physically located?
The Alliance Medical Center is physically situated at the following address: 1381 University St, Healdsburg, CA, 954483314.
What is Alliance Medical Center's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alliance Medical Center is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Alliance Medical Center receive the assignment of its 1639376726 from the Centers for Medicare & Medicaid Services?
The Alliance Medical Center was issued its 1639376726 by the Centers for Medicare & Medicaid Services on 2007-07-02.
When was the Alliance Medical Center's information last updated?
The Alliance Medical Center's information was last updated on 2020-07-30.
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