Alliance Clinic, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1009916 Issued in MN

Legal business name

ALLIANCE CLINIC, LLC

Doing business as

Valhalla Minneapolis

Practice address

3329 University Ave SE
Minneapolis, MN 55414-3325

Phone

(612) 638-2260

Fax

(612) 638-2340

NPI assigned

Mar 15, 2007

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

MERIDIAN BEHAVIORAL HEALTHAs reported in NPPES

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

Authorized official

Name

Jay Higham

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 2

Addresses

Other names 1

• Valhalla Minneapolis Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Part of

Meridian Behavioral Health

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.

• Lilian Kigonya, M.D., M.P.H.

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1932375110
  NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1558495010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "address_2": "#230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "612-326-7600",
            "fax_number": "612-326-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143325",
            "telephone_number": "612-638-2260",
            "fax_number": "612-638-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERIDIAN BEHAVIORAL HEALTH",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "HIGHAM",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "1009916",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1009916-2-CDT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valhalla Minneapolis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Sarah Aller
• Allergy & Asthma Specialists, PA
• Katie Ann Alley, MPT
• Kaylin Grace Alley, PHARMD
• Alliance Clinic
• Alliance Clinic, LLC
• Alliance Development Center LLC
• Alliance Health Center LLC
• Alliance Housing for All LLC
• Allied Community Services

• Health Maintenance Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.

Verify at the official NPI Registry.