Provider Demographics
NPI:1841775830
Name:ALLIANCE FAMILY HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:ALLIANCE FAMILY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-596-7528
Mailing Address - Street 1:110 W CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-2943
Mailing Address - Country:US
Mailing Address - Phone:330-596-7580
Mailing Address - Fax:330-596-7585
Practice Address - Street 1:110 W CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-2943
Practice Address - Country:US
Practice Address - Phone:330-596-7580
Practice Address - Fax:330-596-7585
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE FAMILY HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)