Provider Demographics
NPI:1114958493
Name:ALLIANCE COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:ALLIANCE COMMUNITY HOSPITAL
Other - Org Name:ALLIANCE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-363-2390
Mailing Address - Street 1:2461 W. STATE STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601
Mailing Address - Country:US
Mailing Address - Phone:330-596-7480
Mailing Address - Fax:330-596-7485
Practice Address - Street 1:2461 W. STATE STREET
Practice Address - Street 2:SUITE E
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601
Practice Address - Country:US
Practice Address - Phone:330-596-7480
Practice Address - Fax:330-596-7485
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE COMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-05
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0221941Medicaid
OH361588Medicare Oscar/Certification