NPIMap

Organization Active NPI

Alliance Medical Center

  • Federally Qualified Health Center (FQHC)
  • Healdsburg, CA
National Provider Identifier
1386477735
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ALLIANCE MEDICAL CENTER
Doing business as
Alliance Medical Center
Practice address
1557 Healdsburg Ave Ste 15&16
Healdsburg, CA 95448-3260
Phone
(707) 433-5494
NPI assigned
Aug 21, 2024
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Susannah Rachael LabbeNPI 1154609949
Title
Ceo
Phone
(559) 349-2621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1557 Healdsburg Ave Ste 15&16
Healdsburg, CA 95448-3260

Mailing address

1381 University St
Healdsburg, CA 95448-3314
Phone (707) 334-5494

Other names 1

  • Alliance Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260205002234 CA Part A Provider - Federally Qualified Health Center (FQHC) 3779471446 Practice locations: Healdsburg, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386477735. Details of each certification follow.

Federally qualified health center certification: CCN A11041

Legal name
ALLIANCE MEDICAL CENTER
Doing business as
ALLIANCE MEDICAL CENTER - COMPREHENSIVE WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 4, 2026
Last certification
Feb 4, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1557 Healdsburg Ave
Ste 15&16
Healdsburg, CA 95448-3260

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Fadden Associates Phy8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1557 Healdsburg Ave
Ste 1516
Healdsburg, CA 95448
Phone (707) 433-5494

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy Fawcett Individual Corporate OfficerChief Financial Officer Sep 25, 2023 50%
Operational/Managerial ControlChief Financial Officer Sep 25, 2023 50%
Nancy Nella Individual Corporate DirectorBoard Member Aug 1, 2023
Maryanne Harris Individual Corporate DirectorBoard Member Mar 6, 2025
Marilyn Murray Individual Corporate DirectorBoard Member Apr 1, 2017
William Leland Individual Corporate DirectorBoard Member Mar 6, 2025
Marisela Cervantes Individual Corporate DirectorBoard Member Dec 5, 2024
Norman K. Fujita Individual Corporate DirectorBoard Member Oct 1, 2022
Susannah Rachael Labbe Individual Corporate OfficerChief Executive Officer Jan 17, 2017 50%
Operational/Managerial ControlChief Executive Officer Jan 17, 2017 50%
Dena Cochran Individual Corporate DirectorBoard Member Jul 1, 2022
Krystal Humphrey Individual Corporate DirectorBoard Member Feb 6, 2025
Emily Virgil Individual Corporate DirectorBoard Member Jan 4, 2024
Mary Fitzgerald Individual Corporate DirectorBoard Member Dec 7, 2023
Susan Lentz Individual Corporate DirectorBoard Member Nov 1, 2023
Malinalli Lopez Arreguin Individual Corporate DirectorBoard Member Mar 6, 2025
Theresa Mulvaney Individual Corporate DirectorBoard Member Jan 4, 2024
Jaime Campoverde Individual Corporate DirectorBoard Member Feb 1, 2024
Kathryn Boyd Individual Corporate DirectorBoard Member Jan 2, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

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": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1386477735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 UNIVERSITY ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483314",
            "telephone_number": "707-334-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 HEALDSBURG AVE STE 15&16",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483260",
            "telephone_number": "707-433-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "LABBE",
        "authorized_official_first_name": "SUSANNAH",
        "authorized_official_middle_name": "RACHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-349-2621"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.