Alliance Health Centers Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Fort Wayne, IN
NPI 1336090265 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1336090265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- ALLIANCE HEALTH CENTERS INC.
- Practice address
- 2135 S Hanna St Ste 2
Fort Wayne, IN 46803-2402 - Phone
- (260) 266-0780
- Fax
- (260) 266-0785
- NPI assigned
- Feb 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Colin Lamont
- Title
- Director of Finance
- Phone
- (260) 266-0780
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 9
Corporate family (same tax ID) 10
Practitioners 4
-
Sara L Bauer, NP
-
Mark Alan Boxell, APRN, FNP-BC
-
Kaitlyn M Pozorski, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Federally qualified health center certification: CCN C51118
- Legal name
- ALLIANCE HEALTH CENTERS INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 26, 2026
- Last certification
- Feb 26, 2026
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 2135 S Hanna St
Ste 2
Fort Wayne, IN 46803-2402
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Fernando Zapari |
Corporate Officer | Feb 6, 2026 | |
| Connie Heflin |
Corporate Officer | Feb 6, 2026 | |
| Melissa Grossman |
Corporate Officer | Feb 6, 2026 | |
| Philip Giaquinta |
Corporate Officer | Feb 6, 2026 | |
| Joseph Jordan |
Corporate Officer | Feb 6, 2026 | |
| Harold Odden |
Corporate Officer | Feb 6, 2026 | |
| Malik King |
Corporate Officer | Feb 6, 2026 | |
| Timothy Price |
Corporate Officer | Feb 6, 2026 | |
| Raquel Kline |
Corporate Officer | Feb 6, 2026 | |
| Colin Lamont |
Corporate Director |
Feb 6, 2026 | |
| W-2 Managing Employee | Feb 6, 2026 | ||
| Autumn Nichole King |
Corporate Director |
Feb 6, 2026 | |
| W-2 Managing Employee | Feb 6, 2026 | ||
| Ashley Piercy |
Corporate Director |
Feb 6, 2026 | |
| W-2 Managing Employee | Feb 6, 2026 | ||
| Phyllis Bragg |
Corporate Officer | Feb 6, 2026 | |
| D'Andrae Douse |
Corporate Officer | Feb 6, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201006002848 | IN | Part B Supplier - Clinic/Group Practice | 8022437318 |
Receives reassigned benefits from 54 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fort Wayne, IN; Marion, IN; Auburn, IN |
| O20260302002668 | IN | Part a Provider - Federally Qualified Health Center (FQHC) | 8022437318 | Practice locations: Fort Wayne, IN |
National Provider Directory
- Tax ID family
- Alliance Health Centers Inc
Locations
2135 S Hanna St
Ste 2
Fort Wayne, IN 46803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2135 S Hanna St Ste 2
Fort Wayne, IN 46803-2402
Mailing address
2700 Lafayette St Ste 110
Fort Wayne, IN 46806-1100
Phone (260) 266-0780
Other providers in Fort Wayne, IN
- Rebecca Ann Allen
- Allendale Academy LLC
- Allendale Behavioral Health LLC
- Allergy & Asthma Center, PC
- Madelyn L Alles
- Alliance Health Centers Inc.
- Alliance Health Centers, Inc.
- Alliance Health Centers, Inc.
- Alliance Health Centers, Inc.
- Alliance Health Centers, Inc.
All providers in Fort Wayne, IN · Federally Qualified Health Center (FQHC) in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.