Alliance Family Health Center, Inc
Organization Active NPI Obstetrics & Gynecology Physician · Alliance, OH
NPI 1801267232 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1801267232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ALLIANCE FAMILY HEALTH CENTER, INC
- Practice address
- 1401 S Arch Ave
Alliance, OH 44601-4288 - Phone
- (330) 596-7580
- Fax
- (330) 596-7585
- NPI assigned
- Oct 12, 2015
- Organization subpart
- No
Authorized official
- Name
- Dale W Wells
- Title
- Director
- Phone
- (330) 596-7066
Other NPIs with the same Medicare PAC ID 2
Practitioners 21
-
Felicia Ann Beachy, APRN-CNP
-
Miranda Meadows, PA-C
-
Tori Lynn Minick, CNP
-
Lisa M Miracle, CNP
-
Marie H Ott, PMHNP
-
James R Wilson, M.D.
-
David R Brandau, M.D.
-
Sara L Lemin, MD
-
Shelley M Weatherspoon, LISW, LICDC
-
Naomi A Wychanko, M.D.
-
Michael Davis, MA/PCC
-
Christine A Dyer, LISW-S
-
Lauren Rose Rogel, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160801001407 | OH | Part B Supplier - Clinic/Group Practice | 7113210949 |
Receives reassigned benefits from 18 practitioners Practice locations: Alliance, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Women's Health Nurse Practitioner |
363LW0102X | |||
| Advanced Practice Midwife |
367A00000X |
Addresses
Primary practice location
1401 S Arch Ave
Alliance, OH 44601-4288
Mailing address
270 E State St
Ste G110
Alliance, OH 44601-4957
Phone (330) 596-7580
Other practice location 1
110 W Cambridge St
Alliance, OH 44601-2943
Phone (330) 596-7580
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0163971 | Medicaid | OH |
Other providers in Alliance, OH
- Alliance Community Medical Foundation LLC
- Alliance Community Radiologists Inc
- Alliance Counseling Services LLC
- Alliance Dental Clinic LLC
- Alliance Family Health Center, Inc
- Alliance Family Health Center, Inc.
- Alliance Family Health Center, Inc.
- Alliance Family Practice
- Alliance Hospitalist Group Inc
- Alliance Medical Associates Inc
All providers in Alliance, OH · Obstetrics & Gynecology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.