Provider Demographics
NPI:1184135808
Name:ALLIANCE HEALTHCARE TECHNOLGIES
Entity type:Organization
Organization Name:ALLIANCE HEALTHCARE TECHNOLGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-837-9559
Mailing Address - Street 1:1781 267TH CT SE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075
Mailing Address - Country:US
Mailing Address - Phone:412-343-1850
Mailing Address - Fax:844-965-9807
Practice Address - Street 1:1781 267TH CT SE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075
Practice Address - Country:US
Practice Address - Phone:412-343-1850
Practice Address - Fax:844-965-9807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332800000XSuppliersIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy