Provider Demographics
NPI:1013944362
Name:ALLIANCE COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:ALLIANCE COMMUNITY HOSPITAL
Other - Org Name:ALLIANCE VISITING NURSE ASSOCIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-363-2390
Mailing Address - Street 1:885 S SAWBURG ROAD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-5905
Mailing Address - Country:US
Mailing Address - Phone:330-596-6400
Mailing Address - Fax:330-821-1955
Practice Address - Street 1:885 S SAWBURG ROAD
Practice Address - Street 2:SUITE 106
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-5905
Practice Address - Country:US
Practice Address - Phone:330-596-6400
Practice Address - Fax:330-821-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9072551Medicaid
OH9072551Medicaid