NPIMap

Organization Active NPI

Alliance Healthcare Systen,, Inc

  • Land Ambulance
  • Holly Springs, MS
National Provider Identifier
1942482963
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
241 Issued in MS
Legal business name
ALLIANCE HEALTHCARE SYSTEN,, INC
Practice address
1430 Highway 4 E
Holly Springs, MS 38635-2140
Phone
(662) 252-1212
NPI assigned
Nov 30, 2007
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLIANCE HEALTHCARE SYSTEM, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Mr. Perry E Williams Sr.
Title
Administrator
Phone
(662) 252-1212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X
Land Ambulance 3416L0300X 241 MS Primary

Addresses

Primary practice location

1430 Highway 4 E
Holly Springs, MS 38635-2140

Mailing address

1430 Highway 4 E
Holly Springs, MS 38635-2140

Other identifiers 2

IdentifierTypeStateIssuer
00220621MedicaidMS
01875263MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Marshall Med CT Marshal13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

1430 Highway 4 E
Holly Springs, MS 38635
Phone (662) 252-1212

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1942482963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HIGHWAY 4 E",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HIGHWAY 4 E",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352140",
            "telephone_number": "662-252-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE SYSTEN,, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE HEALTHCARE SYSTEM, INC",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-252-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MS",
            "license": "241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00220621",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01875263",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.