Provider Demographics
NPI:1760164214
Name:1 ALLIANCE CARE COORDINATION LLC
Entity Type:Organization
Organization Name:1 ALLIANCE CARE COORDINATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-739-2105
Mailing Address - Street 1:12610 E FENCE LINE DR
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-8149
Mailing Address - Country:US
Mailing Address - Phone:530-739-2105
Mailing Address - Fax:844-955-1818
Practice Address - Street 1:12610 E FENCE LINE DR
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-8149
Practice Address - Country:US
Practice Address - Phone:530-739-2105
Practice Address - Fax:844-955-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty