Alliance Health Services S.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ALLIANCE HEALTH SERVICES S.C.

Practice address

1370 Pabst Farms Cir
Suite #340
Oconomowoc, WI 53066-4879

Phone

(262) 200-2700

Fax

(262) 200-2702

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Thomas Follansbee, M.D.

Title

Owner/Physician

Phone

(262) 200-2700

Specialties & licenses 1

Addresses

Other names 1

• RiverLakes Pain and Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1760611925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 PABST FARMS CIR",
            "address_2": "SUITE #340",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664879",
            "telephone_number": "262-200-2700",
            "fax_number": "262-200-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 PABST FARMS CIR",
            "address_2": "SUITE #340",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664879",
            "telephone_number": "262-200-2700",
            "fax_number": "262-200-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH SERVICES S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "FOLLANSBEE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "262-200-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverLakes Pain and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carey Lynn Alber, MOTR
• Allegiance Medical, Inc.
• Abby Jean Allen
• Charles Edward Allen Jr., M.D.
• Kiah Allen, APNP
• Amanda Donath Psychological Services S C
• Julie Amtmann, PA
• Alicia Marie Anderson, DPT
• Ellen L Anderson, RN
• Eric R Anderson, MD

• All providers in Oconomowoc, WI
• Multi-Specialty Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.