City of Alliance

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CITY OF ALLIANCE

Doing business as

Alliance City Health Department

Practice address

537 E Market St
Alliance, OH 44601-2514

Phone

(330) 821-7373

Fax

(330) 821-9517

NPI assigned

Jun 16, 2006

Last updated

Jan 4, 2013By 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

Mr. Randall M Flint, M.P.H.

Title

Health Commissioner

Phone

(330) 821-7373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alliance City Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• City of Alliance

  dba Alliance Fire Department

  • Land Ambulance
  • Alliance, OH
  • NPI 1629675863

  4880597798

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Alliance City Health de2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• City of Alliance

  dba Alliance Fire Department

  • Land Ambulance
  • Alliance, OH
  • NPI 1629675863
  NPD tax ID

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.

• Melissa Rudolph, FNP -BC

  • Family Nurse Practitioner
  • Alliance, OH
  • NPI 1952188617
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1740224823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 E MARKET ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012514",
            "telephone_number": "330-821-7373",
            "fax_number": "330-821-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 E MARKET ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012514",
            "telephone_number": "330-821-7373",
            "fax_number": "330-821-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "330-821-7373",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.H."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance City Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Chiang, O.D
• David E Childs Jr.
• Jonathan L Christensen, PTA
• Alyssa Kae Chuckalovchak
• City of Alliance (Alliance Fire Department)
• Debra A Clair, PHD CNS
• Jerry Christopher Clark, LMT
• Clarkson Optometry Midwest Inc (Clarkson Eyecare)
• Emily Anne Clemson
• Cleveland Clinic Mercy Hospital

• Public Health or Welfare Agency in Alliance, OH
• Providers in Alliance, OH by specialty
• Public Health or Welfare Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.