Provider Demographics
NPI:1972848851
Name:ALLIANT MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:ALLIANT MEDICAL SERVICES, LLC
Other - Org Name:AFC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SINDECUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-335-2900
Mailing Address - Street 1:1610 N KINGSHIGHWAY ST STE 301
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-2266
Mailing Address - Country:US
Mailing Address - Phone:573-275-8067
Mailing Address - Fax:573-803-4061
Practice Address - Street 1:465 S MOUNT AUBURN RD
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703
Practice Address - Country:US
Practice Address - Phone:573-335-2900
Practice Address - Fax:573-335-2905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty