Alliance Medical Care Centers
Organization Active NPI Birthing Clinic/Center · Avon, IN
NPI 1124977376 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1124977376
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Birthing Clinic/Center 261QB0400X
- Legal business name
- ALLIANCE MEDICAL CARE CENTERS
- Practice address
- 1793 Je to Lake Dr
Avon, IN 46123-9584 - Phone
- (210) 464-3611
- Fax
- (888) 329-2091
- NPI assigned
- Jan 22, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLIANCE MEDICAL CARE CENTERS
Authorized official
- Name
- Faith Blevins
- Title
- Admin
- Phone
- (210) 464-3611
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Alliance Medical Care Centers
- Part of
- Alliance Medical Care Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | Yes |
Addresses
Primary practice location
1793 Je to Lake Dr
Avon, IN 46123-9584
Mailing address
2649 Flamingo LN
Fort Lauderdale, FL 33312-4759
Phone (210) 464-3611
NPI Registry JSON
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769040000000",
"number": "1124977376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2649 FLAMINGO LN",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333124759",
"telephone_number": "210-464-3611",
"fax_number": "888-329-2091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1793 JE TO LAKE DR",
"city": "AVON",
"state": "IN",
"postal_code": "461239584",
"telephone_number": "210-464-3611",
"fax_number": "888-329-2091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE MEDICAL CARE CENTERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALLIANCE MEDICAL CARE CENTERS",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A",
"authorized_official_last_name": "BLEVINS",
"authorized_official_first_name": "FAITH",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "210-464-3611"
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.