NPIMap

Organization Active NPI

Alliance Healthcare System, Inc

  • General Acute Care Hospital
  • Holly Springs, MS
National Provider Identifier
1043427206
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
16-252 Issued in MS
Legal business name
ALLIANCE HEALTHCARE SYSTEM, INC
Practice address
1430 Highway 4 E
Holly Springs, MS 38635-2140
Phone
(662) 252-1212
Fax
(662) 551-3421
NPI assigned
May 17, 2007
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Perry E Williams
Title
Administrator
Phone
(662) 252-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 16-252 MS Primary

Addresses

Primary practice location

1430 Highway 4 E
Holly Springs, MS 38635-2140

Mailing address

1430 Hwy 4-East
Holly Springs, MS 38635
Phone (662) 252-1212

Other identifiers 1

IdentifierTypeStateIssuer
80430OtherMSBLUE CROSS-SB

National Provider Directory

National Provider Directory
Tax ID family
WMC Pharmacy13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1043427206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HWY 4-EAST",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "38635",
            "telephone_number": "662-252-1212",
            "fax_number": "662-551-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HIGHWAY 4 E",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352140",
            "telephone_number": "662-252-1212",
            "fax_number": "662-551-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-252-1212"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "16-252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-SB",
            "identifier": "80430",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.