Provider Demographics
NPI:1508910779
Name:ALAMEDA ALLIANCE FOR HEALTH
Entity Type:Organization
Organization Name:ALAMEDA ALLIANCE FOR HEALTH
Other - Org Name:ALAMEDA ALLIANCE JOINT POWERS OF AUTHORITY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMIRAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-747-4555
Mailing Address - Street 1:1240 S LOOP RD
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94502-7084
Mailing Address - Country:US
Mailing Address - Phone:510-747-4555
Mailing Address - Fax:510-747-4502
Practice Address - Street 1:1240 S LOOP RD
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-7084
Practice Address - Country:US
Practice Address - Phone:510-747-4555
Practice Address - Fax:510-747-4502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization