Alliance Healthcare Group

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALLIANCE HEALTHCARE GROUP

Practice address

20 E Melbourne Ave
104
Melbourne, FL 32901-5970

Phone

(321) 951-7404

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

COMPREHENSIVE MEDIICAL CLINICAs reported in NPPES

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

Authorized official

Name

Rajiv Chandra, MC

Title

Officer

Phone

(321) 951-7404

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Spectracell Laboratorie

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1720279458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE",
            "address_2": "104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "321-951-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE",
            "address_2": "104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "321-951-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE MEDIICAL CLINIC",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "321-951-7404",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA NUMBER",
            "identifier": "500016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammyann Marie Allen, LMT
• Valerie Allen, ED.D.
• Rafael Allende, M.D.
• Terri A Allerton, M.A. CCC-SLP
• Jesse Alan Allgood, M.S., BCBA
• Allied Business Services, LLC (Allied Billing Services, LLC)
• Allies in Wellness Collective, LLC (Allies in Wellness Therapy Collective)
• Allies in Wellness, LLC
• Allison L Nevin, Psy.D., PLLC
• Nathan D Allison, M.D.

• Ambulatory Surgical Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.