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ALLIANCE MEDICAL CLINIC LLC NPI 1740224054


NPI Information

NPI: 1740224054
Provider Name: ALLIANCE MEDICAL CLINIC, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 03D1069776

Address:
42104 N VENTURE DR
SUITE D118
ANTHEM, AZ
ZIP 85086
Phone: (623) 505-6565
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ALLIANCE MEDICAL CLINIC, LLC is an internal medicine in Anthem, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ALLIANCE MEDICAL CLINIC, LLC NPI is 1740224054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42104 N VENTURE DR
SUITE D118
ANTHEM, AZ
ZIP 85086-823
Phone: (623) 505-6565
Fax: (623) 551-5567

The provider's authorized official is Alicia Anne Baer .
The authorized official title is Practice Manager and has the following contact phone number (623) 271-8704.

The CLIA number assigned to this NPI record is 03D1069776 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/16/2006 and was last updated on 4/12/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
2207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.