ALLIANCE MEDICAL CENTER (NPI# 1710218409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710218409 |
| Entity Type | Organization |
| Organization Name | ALLIANCE MEDICAL CENTER |
| Practice Address |
8465 Old Redwood Hwy Ste 320 Windsor CA 95492-9244 |
| Mailing Address |
1381 University St Healdsburg CA 95448-3314 |
| Practice Telephone | 7074335494 |
| Practice Fax Number | 7073852157 |
| Mailing Telephone | 7074335494 |
| Mailing Fax Number | 7074318649 |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | JOAN CHURCHILL (CEO) |
| Authorized Official Telephone | 7073852306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
550001284 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386841476 | Alliance Medical Center | Clinic/Center | 1381 University St, Healdsburg, CA 95448-3314 | 2007-07-02 |
| 1639376726 | Alliance Medical Center | Clinic/Center | 1381 University St, Healdsburg, CA 95448-3314 | 2007-07-02 |
| 1750399796 | Alliance Medical Center | Clinic/Center | 1381 University St, Healdsburg, CA 95448-3314 | 2006-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALLIANCE MEDICAL CENTER, INC. | 1381 University Ave, Healdsburg, CA 95448-3314 |
| Street Address |
8465 OLD REDWOOD HWY STE 320 |
| City | WINDSOR |
| State | CA |
| Zip Code | 95492-9244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
| 1992080196 | Angelica Andrade | Social Worker | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492-9244 | 2011-10-19 |
| 1427112408 | Daniela Maria Gomes De Vasques | Counselor | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492-9244 | 2006-12-21 |
| 1730263716 | Stephen M. Rich | Internal Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235368572 | Kelly Vanzutphen | Clinical Neuropsychologist | 9940 Starr Rd., Ste 140, Windsor, CA 95492 | 2009-07-08 |
| 1932315934 | Charles Henry Aikawa | Dentist | 8741 Brooks Road South Ste 201, Windsor, CA 95492 | 2007-05-15 |
| 1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
| 1780768382 | Joyce Yu Chang | Dentist | 8886 Lakewood Dr, Windsor, CA 95492 | 2006-10-24 |
| 1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
| 1093785826 | Windsor Primary Care Medical Group Inc | Family Medicine | 8465 Old Redwood Hwy, #320, Windsor, CA 95492 | 2006-01-24 |
| 1093288995 | Elizabeth Vasquez Quiroz | Counselor | 3555 Sonoma Hwy, Santa Rosa, CA 95492 | 2019-01-03 |
| 1336488071 | Jennifer L Price | Chiropractor | 8499 Old Redwood Hwy, Suite 204, Windsor, CA 95492 | 2013-01-31 |
| 1104163815 | Rael Bernstein Dds Apc | Dentist | 8741 Brooks Rd S, Windsor, CA 95492 | 2013-01-15 |
| 1033181417 | Jann M Hanscome | Family Medicine | 8465 Old Redwood Hwy, Ste 320, Windsor, CA 95492 | 2006-02-01 |
| Find all providers in zip 95492 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.