Alliance Medical Center - Healdsburg

LBN: Alliance Medical Center
Alliance Medical Center - Healdsburg is an health care organization with primary practice located at 1381 University St , Healdsburg CA 95448-3314. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Alliance Medical Center can be contacted via phone (707) 433-5494, or through Churchill, Joan via phone (707) 385-2306.

Contact Information

Primary practice address
1381 University St Healdsburg CA 95448-3314
Phone: (707) 433-5494
Fax: (707) 431-8649
Website:
Map and Directions
Authorized official contact:
Name: Churchill, Joan
Phone: (707) 385-2306

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 110000096 California

Profile Details

NPI number 1750399796
LBN Legal business name Alliance Medical Center
DBA Doing business as Alliance Medical Center - Healdsburg
Authorized official Churchill, Joan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750399796 NPPES
California MEDICAID FHC03923F

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