| Alliance Medical Center, Inc. | |
|
1557 Healdsburg Ave Ste 15&16 Healdsburg CA 95448-3260 | |
| (707) 433-5494 | |
| Not Available |
| Full Name | Alliance Medical Center, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1557 Healdsburg Ave Ste 15&16, Healdsburg, California |
| Authorized Official Name and Position | Susannah Rachael Labbe (CEO) |
| Authorized Official Contact | 7074803898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Medical Center, Inc. 1381 University St Healdsburg CA 95448-3314 Ph: (707) 334-5494 | Alliance Medical Center, Inc. 1557 Healdsburg Ave Ste 15&16 Healdsburg CA 95448-3260 Ph: (707) 433-5494 |
| NPI Number | 1386477735 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386477735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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