NPIMap

Organization Active NPI

Alliance Health Center Phycians

  • Specialist
  • Meridian, MS
National Provider Identifier
1942574587
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12-308 Issued in MS
Legal business name
ALLIANCE HEALTH CENTER PHYCIANS
Practice address
5000 Hwy 39 N
Meridian, MS 39301-1021
Phone
(601) 581-9906
Fax
(601) 696-4898
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
William Patterson
Title
Ceo
Phone
(601) 581-9906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12-308 MS Primary

Addresses

Primary practice location

5000 Hwy 39 N
Meridian, MS 39301-1021

Mailing address

5000 Hwy 39 N
Meridian, MS 39301-1021
Phone (601) 581-9906

Other identifiers 1

IdentifierTypeStateIssuer
1073684940OtherMSMEDICARE PTAN-3021265595

National Provider Directory

National Provider Directory
Tax ID family
Laurel Wood Ctr PF7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1942574587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HWY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011021",
            "telephone_number": "601-581-9906",
            "fax_number": "601-696-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HWY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011021",
            "telephone_number": "601-581-9906",
            "fax_number": "601-696-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTH CENTER PHYCIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-581-9906"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "12-308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-3021265595",
            "identifier": "1073684940",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.