Provider Demographics
NPI:1215018767
Name:ALLIANCE COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:ALLIANCE COMMUNITY HOSPITAL
Other - Org Name:COMMUNITY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
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 1:200 E STATE ST P.O BOX 2720
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-0720
Mailing Address - Country:US
Mailing Address - Phone:330-596-6000
Mailing Address - Fax:330-596-7555
Practice Address - Street 1:200 EAST STATE ST.
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-5905
Practice Address - Country:US
Practice Address - Phone:330-596-6000
Practice Address - Fax:330-596-7555
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE COMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-18
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2642215Medicaid
OH365781Medicare ID - Type Unspecified