Provider Demographics
NPI:1881393312
Name:ALLIANCE HEALTH CARE INSTITUTE
Entity type:Organization
Organization Name:ALLIANCE HEALTH CARE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABUGHRIN
Authorized Official - Suffix:
Authorized Official - Credentials:RMA, RPT, EMT,MLT
Authorized Official - Phone:414-269-9498
Mailing Address - Street 1:6815 W CAPITOL DR STE 207
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2056
Mailing Address - Country:US
Mailing Address - Phone:414-269-9498
Mailing Address - Fax:
Practice Address - Street 1:6815 W CAPITOL DR STE 207
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2056
Practice Address - Country:US
Practice Address - Phone:414-269-9498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI52D2145540Medicaid