ALLIANCE HEALTH CENTERS INC. NPI 1316556848

NPI Information

ALLIANCE HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Fort Wayne, IN. ALLIANCE HEALTH CENTERS, INC. NPI is 1316556848. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2700 LAFAYETTE ST
FORT WAYNE, IN
ZIP 46806-100
Phone: (812) 230-5150

The provider's authorized official is Brooke Lockhart .
The authorized official title is Ceo and has the following contact phone number (260) 266-0780.

The CLIA number assigned to this NPI record is 15D2198033 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2020 and was last updated on 12/8/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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