ALLIANCE MEDICAL CENTER (NPI# 1750399796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750399796 |
| Entity Type | Organization |
| Organization Name | ALLIANCE MEDICAL CENTER |
| Other Organization Name | ALLIANCE MEDICAL CENTER - HEALDSBURG |
| Practice Address |
1381 University St Healdsburg CA 95448-3314 |
| Practice Telephone | 7074335494 |
| Practice Fax Number | 7074318649 |
| Mailing Telephone | 7074335494 |
| Mailing Fax Number | 7074318649 |
| Enumeration Date | 2006-08-04 |
| 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) |
110000096 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC03923F | 05 |
| Other Name | Type Code |
|---|---|
| Alliance Medical Center - Healdsburg | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710218409 | Alliance Medical Center | Clinic/Center | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492-9244 | 2010-01-20 |
| 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 |
| 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 |
1381 UNIVERSITY ST |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629659 | Elvira Silvia Fiorentino | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2005-09-13 |
| 1144726571 | Anna Rios | Dietitian, Registered | 1381 University St, Healdsburg, CA 95448-3314 | 2018-04-04 |
| 1407242613 | Laura Stever | Dietitian, Registered | 1381 University St, Healdsburg, CA 95448-3314 | 2015-04-14 |
| 1881087062 | Brittany Lee Gonzales | Dentist | 1381 University St, Healdsburg, CA 95448-3314 | 2015-03-11 |
| 1457788945 | Todd Steele | Nurse Practitioner | 1381 University St, Healdsburg, CA 95448-3314 | 2013-09-30 |
| 1265878938 | Maria Guadalupe Juarez Sanchez | Social Worker | 1381 University St, Healdsburg, CA 95448-3314 | 2013-05-21 |
| 1407199912 | Anna Victoria Ekstrom | Pediatrics | 1381 University St, Healdsburg, CA 95448-3314 | 2013-04-03 |
| 1720339484 | Teresa Bryner | Registered Nurse | 1381 University St, Healdsburg, CA 95448 | 2012-09-20 |
| 1730439001 | Elizabeth Anne Caine | Counselor | 1381 University St, Healdsburg, CA 95448-3314 | 2012-09-14 |
| 1043570708 | Cassandra Heller | Family Medicine | 1381 University St, Healdsburg, CA 95448-3314 | 2012-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
| 1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
| 1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
| 1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
| 1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
| 1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
| 1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
| 1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
| Find all providers in zip 95448 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902289838 | Abby Bettilyon Sorensen | Clinic/Center | 1381 University Avenue, Healdsburg, CA 95448-3314 | 2015-07-09 |
| 1811195100 | Crystal J Cox | Clinic/Center | 1381 University St, Healdsburg, CA 95448-3314 | 2007-07-07 |
| 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 |
| 1326244096 | Alliance Medical Center, Inc. | Clinic/Center | 1381 University St, Healdsburg, CA 95448-3314 | 2007-06-21 |
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| Find all providers with the same taxonomy | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
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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.