First Alliance Healthcare of Ohio

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FIRST ALLIANCE HEALTHCARE OF OHIO

Practice address

1991 Crocker Rd Ste 600
Westlake, OH 44145-6976

Phone

(202) 450-0351

NPI assigned

Jun 8, 2016

Last updated

Jun 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn Wallace

Title

Ceo

Phone

(202) 450-0351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1235588427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 600",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456976",
            "telephone_number": "202-450-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 600",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456976",
            "telephone_number": "202-450-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ALLIANCE HEALTHCARE OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-450-0351"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Westlake, OH
• Providers in Westlake, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.