ALLIANCE HEALTHCARE SYSTEM (NPI# 1578956264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578956264 |
Entity Type | Organization |
Organization Name | ALLIANCE HEALTHCARE SYSTEM |
Other Organization Name | WMC PHARMACY |
Practice Address |
1938 Crescent Meadows Dr Holly Springs MS 38635-7419 |
Practice Telephone | 6622521599 |
Practice Fax Number | 6622521986 |
Mailing Telephone | 6622521599 |
Mailing Fax Number | 6622521986 |
Enumeration Date | 2015-03-05 |
Last Update Date | 2015-03-05 |
Authorized Official Name | KENNETH WILLIAMS (PRESIDENT) |
Authorized Official Telephone | 6622521599 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers |
Other Name | Type Code |
---|---|
WMC Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
1609973056 | Alliance Healthcare System | Nurse Practitioner | 538 J. M. Ash Rd., Holly Springs, MS 38635-3238 | 2006-09-20 |
1801086574 | Alliance Healthcare System | General Acute Care Hospital | 1430 Highway 4 E, Post Office Drawer Box 6000, Holly Springs, MS 38635-2140 | 2007-07-30 |
1609079060 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4-east, Holly Springs, MS 38634 | 2007-06-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ALLIANCE HEALTHCARE SYSTEMS | 5405 N Hillbrooke Trce, Johns Creek, GA 30005-7238 |
Street Address |
1938 CRESCENT MEADOWS DR |
City | HOLLY SPRINGS |
State | MS |
Zip Code | 38635-7419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821143256 | Alliance Healthcare System Inc | Clinic/Center | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 2007-01-24 |
1952773517 | Wmc Pharmacy | Pharmacy | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 2015-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174123442 | Anointed Caregiver LLC | In Home Supportive Care | 585 Stewart Street, Holly Springs, MS 38635 | 2020-10-27 |
1841823515 | Jordan Marquis Anderson | Counselor | 694 Hwy #4 E, Holly Springs, MS 38635 | 2020-02-20 |
1073151684 | Robyn Black Caldwell | Nurse Practitioner | 550 South Craft Street, Holly Springs, MS 38635 | 2019-12-13 |
1750922209 | Paul Franklin Nixon | Nurse Practitioner | 550 S Craft Street, Holly Springs, MS 38635 | 2019-10-07 |
1629596804 | Ortho Express Holding Company, LLC | Orthopaedic Surgery | 173a Whaley Dr, Ste B, Holly Springs, MS 38635 | 2017-09-07 |
1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
1437373164 | Curl & Clark LLC | Clinic/Center | 153a South Market Street, Holly Springs, MS 38635 | 2007-04-12 |
1912047747 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | 439 Craft Street, Suite B, Holly Springs, MS 38635 | 2007-02-08 |
1467561233 | Brooks V Monaghan Jr. | Surgery | 226 Bethlehem St, Holly Springs, MS 38635 | 2006-08-29 |
Find all providers in zip 38635 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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1417090093 | University Pavilion Pharmacy | Pharmacy | 1410 E Woodrow Wilson Dr, Jackson, MS 39216 | 2007-02-14 |
1518040500 | Region Iv Mh Mr Commission Phcy | Pharmacy | 2301b E Chambers Dr, Booneville, MS 38829 | 2006-10-23 |
1295268985 | Southern Pharmacy Clinical Management | Pharmacy | 3224 Dijon Ave, Ocean Springs, MS 39564-8520 | 2017-04-10 |
1912452921 | Sports Medicine Pharmacy LLC | Pharmacy | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-08-19 |
1689039711 | River Region Health System | Pharmacy | 2100 Highway 61 N, Pharmacy, Vicksburg, MS 39183-8211 | 2015-12-16 |
1891171351 | Prime Urgent Medical Clinic | Pharmacy | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2015-08-07 |
1871927517 | Southeast Mississippi Rural Health Initiative, Inc. | Pharmacy | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2013-08-29 |
1689915423 | Region Iv Desoto County Pharmacy | Pharmacy | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2013-03-04 |
1740417922 | Coastal Family Health Center, Inc. | Pharmacy | 1025 Division St, Ste A, Biloxi, MS 39530-2906 | 2009-06-16 |
1508072273 | Foot Solutions LLC | Pharmacy | 120 Market St, Woodland, MS 39776-9104 | 2007-05-16 |
Find all providers with the same taxonomy |
City | HOLLY SPRINGS |
Zip Code | 38635 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.