Provider Demographics
NPI:1831171677
Name:ALLIANCE HEALTH SERVICES INC
Entity type:Organization
Organization Name:ALLIANCE HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:901-516-1685
Mailing Address - Street 1:6423 SHELBY VIEW DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-7614
Mailing Address - Country:US
Mailing Address - Phone:901-516-1500
Mailing Address - Fax:901-380-7252
Practice Address - Street 1:6423 SHELBY VIEW DR
Practice Address - Street 2:SUITE 104
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-7614
Practice Address - Country:US
Practice Address - Phone:901-516-1500
Practice Address - Fax:901-380-7252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3548251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1454193Medicaid
TN1205910004Medicare ID - Type Unspecified