ALLIANCE MEDICAL CLINIC PC NPI 1629494786

NPI Information

NPI: 1629494786
Provider Name: ALLIANCE MEDICAL CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
21 MERIDIAN SPRINGS DR
JACKSON, TN
ZIP 38301
Phone: (731) 421-8088
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ALLIANCE MEDICAL CLINIC PC is a family medicine in Jackson, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALLIANCE MEDICAL CLINIC PC NPI is 1629494786. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 MERIDIAN SPRINGS DR
JACKSON, TN
ZIP 38301-900
Phone: (731) 421-8088
Fax: (731) 421-8091

The provider's authorized official is Marianna Forsythe .
The authorized official title is Director and has the following contact phone number (731) 512-0104.

The enumeration date for this NPI number is 3/13/2014 and was last updated on 7/18/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6012010	OTHER	TENNESSEE	BCBST
2	Q004761	MEDICAID	TENNESSEE
3	10370G7599	MEDICARE PIN	TENNESSEE

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: 11/14/2023

NPI Synchronization or Removal

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