| Alliance Health Centers, Inc. | |
|
909 Elmrow Dr. Fort Wayne IN 46806-3173 | |
| (260) 266-0780 | |
| (260) 266-0785 |
| Full Name | Alliance Health Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 909 Elmrow Dr., Fort Wayne, Indiana |
| Authorized Official Name and Position | Eric Allan Shoemaker (DO) |
| Authorized Official Contact | 6026607802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Health Centers, Inc. 2700 Lafayette St Ste 110 Fort Wayne IN 46806-1100 Ph: (260) 266-0780 | Alliance Health Centers, Inc. 909 Elmrow Dr. Fort Wayne IN 46806-3173 Ph: (260) 266-0780 |
| NPI Number | 1730928953 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730928953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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