Provider Demographics
NPI:1285662684
Name:ALLIANCE COMMUNITY HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ALLIANCE COMMUNITY HEALTHCARE, INC.
Other - Org Name:ALLIANCE COMMUNITY HEALTHCARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-209-2301
Mailing Address - Street 1:26 JOURNAL SQUARE PLZ STE 1600
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3847
Mailing Address - Country:US
Mailing Address - Phone:201-209-2301
Mailing Address - Fax:201-451-0619
Practice Address - Street 1:115 CHRISTOPHER COLUMBUS DR
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-5526
Practice Address - Country:US
Practice Address - Phone:201-451-6300
Practice Address - Fax:201-451-0619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ311836Medicare ID - Type Unspecified