| Pierce County Alliance | |
|
510 Tacoma Ave S Tacoma WA 98402-5416 | |
| (253) 572-4750 | |
| (253) 272-6788 |
| Full Name | Pierce County Alliance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Tacoma Ave S, Tacoma, Washington |
| Authorized Official Name and Position | John S Neiswender (CFO) |
| Authorized Official Contact | 2535025403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pierce County Alliance 510 Tacoma Ave S Tacoma WA 98402-5416 Ph: (253) 572-4750 | Pierce County Alliance 510 Tacoma Ave S Tacoma WA 98402-5416 Ph: (253) 572-4750 |
| NPI Number | 1588869093 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 07/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588869093 | NPI | - | NPPES |
| 1990647 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 27019101 (Washington) | Primary |
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