Provider Demographics
NPI:1174505549
Name:ALLIANCE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:ALLIANCE HEALTH SERVICES INC.
Other - Org Name:ALLIANCE HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-516-1434
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT 551
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0551
Mailing Address - Country:US
Mailing Address - Phone:901-516-1999
Mailing Address - Fax:901-382-1979
Practice Address - Street 1:6400 SHELBY VIEW DR
Practice Address - Street 2:SUITE 101A
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7659
Practice Address - Country:US
Practice Address - Phone:901-516-1999
Practice Address - Fax:901-382-1979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE HEALTH SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-11-18
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000433332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1452934Medicaid
TN1205910001Medicare NSC