Provider Demographics
NPI:1417383571
Name:ALLIANCE MEDICAL SERVICES
Entity Type:Organization
Organization Name:ALLIANCE MEDICAL SERVICES
Other - Org Name:PINNACLE TREATMENT CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:D
Authorized Official - Last Name:DUBICS
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:814-269-4700
Mailing Address - Street 1:1419 SCALP AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3314
Mailing Address - Country:US
Mailing Address - Phone:814-269-4700
Mailing Address - Fax:814-269-4800
Practice Address - Street 1:1419 SCALP AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3314
Practice Address - Country:US
Practice Address - Phone:814-269-4700
Practice Address - Fax:814-269-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA003039324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility