Active NPI
Alliance Healthcare Services Inc
- Mobile Radiology Clinic/Center
- Prescott Valley, AZ
National Provider Identifier
1154540979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- License
- 15-078
- Legal business name
- ALLIANCE HEALTHCARE SERVICES INC
- Practice address
- 3262 N Windsong Dr
Prescott Valley, AZ 86314-2255 - Phone
- (928) 759-5800
- NPI assigned
- Apr 24, 2007
- Last updated
- Sep 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rhonda Longmore-Grund
- Title
- Exec VP & Cfo
- Phone
- (800) 544-3215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | 15-078 | AZ | Primary |
Addresses
Primary practice location
3262 N Windsong Dr
Prescott Valley, AZ 86314-2255
Mailing address
100 Bayview Cir
Suite 400
Newport Beach, CA 92660-2983
Phone (800) 544-3215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040616000791 | AZ | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4284546870 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Glendale, AZ |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mobile Radiology Clinic/Center
- Show Low, AZ
- NPI 1053531608
O20040616000791
-
- Mobile Radiology Clinic/Center
- Sedona, AZ
- NPI 1962622514
O20040616000791
-
- Mobile Radiology Clinic/Center
- Cottonwood, AZ
- NPI 1528287398
O20040616000791
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474329600000",
"number": "1154540979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BAYVIEW CIR",
"address_2": "SUITE 400",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602983",
"telephone_number": "800-544-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3262 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142255",
"telephone_number": "928-759-5800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE HEALTHCARE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2016-09-20",
"status": "A",
"authorized_official_last_name": "LONGMORE-GRUND",
"authorized_official_first_name": "RHONDA",
"authorized_official_title_or_position": "EXEC VP & CFO",
"authorized_official_telephone_number": "800-544-3215"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "AZ",
"license": "15-078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.