ALLIANCE MEDICAL CENTER – NPI #1386841476
Clinic/Center

ALLIANCE MEDICAL CENTER is an AHC clinic located in HEALDSBURG, CA. NPPES has assigned the NPI number 1386841476 to ALLIANCE MEDICAL CENTER on July 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 6 years ago on Jul 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLIANCE MEDICAL CENTER below.

NPI Profile for
ALLIANCE MEDICAL CENTER

NPI Number
1386841476
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALLIANCE MEDICAL CENTER
Primary location
1381 UNIVERSITY ST
HEALDSBURG, CA 95448-3314
Phone: (707) 433-5494 Fax: (707) 385-2157
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOAN CHURCHILL
CEO
Phone: (707) 385-2306
Updated
Certification Date
Jul 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ALLIANCE MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCABCP03923F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 CA BCP03923F

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.