Provider Demographics
NPI:1831457712
Name:CARE ALLIANCE
Entity Type:Organization
Organization Name:CARE ALLIANCE
Other - Org Name:CARE ALLIANCE HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:AFRAM-GYENING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-781-6228
Mailing Address - Street 1:1530 SAINT CLAIR AVE NE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-2004
Mailing Address - Country:US
Mailing Address - Phone:216-781-6228
Mailing Address - Fax:216-298-5015
Practice Address - Street 1:2227 PAYNE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-4424
Practice Address - Country:US
Practice Address - Phone:216-781-6228
Practice Address - Fax:216-298-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH847979261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)