Organization Active NPI

Health Alliance Inc

  • Family Medicine Physician
  • Alliance, OH
National Provider Identifier
1891945044
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35057172 Issued in OH
Legal business name
HEALTH ALLIANCE INC
Practice address
149 E Simpson St
Alliance, OH 44601-4219
Phone
(330) 823-3856
Fax
(330) 829-9372
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mrs. Deborah King
Title
Billing/Reimbursement
Phone
(330) 823-3856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35057172 OH Primary

Addresses

Primary practice location

149 E Simpson St
Alliance, OH 44601-4219

Mailing address

149 E Simpson St
Alliance, OH 44601-4219
Phone (330) 823-3856

Other identifiers 1

IdentifierTypeStateIssuer
0382385MedicaidOH

National Provider Directory

National Provider Directory

Locations

2461 W State St
Ste A
Alliance, OH 44601
Phone (330) 596-6570

500 W Main St
Louisville, OH 44641
Phone (330) 823-1758

506 W Main St
Louisville, OH 44641
Phone (330) 829-9389

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1891945044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E SIMPSON ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014219",
            "telephone_number": "330-823-3856",
            "fax_number": "330-829-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E SIMPSON ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014219",
            "telephone_number": "330-823-3856",
            "fax_number": "330-829-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ALLIANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING/REIMBURSEMENT",
        "authorized_official_telephone_number": "330-823-3856",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0382385",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.