Provider Demographics
NPI:1811039712
Name:R.M. ALLIANCE FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:R.M. ALLIANCE FAMILY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LIEUTENANT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-866-2843
Mailing Address - Street 1:13821 N 35TH DR STE 1
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85053-5541
Mailing Address - Country:US
Mailing Address - Phone:602-866-2843
Mailing Address - Fax:602-866-2847
Practice Address - Street 1:13821 N 35TH DR STE 1
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-5541
Practice Address - Country:US
Practice Address - Phone:602-866-2843
Practice Address - Fax:602-866-2847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14434261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ81416Medicare ID - Type Unspecified
AZE20671Medicare UPIN