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ALLIANCE HEALTH AND DERMATOLOGY LLC NPI 1952958449


NPI Information

NPI: 1952958449
Provider Name: ALLIANCE HEALTH AND DERMATOLOGY, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 26D2171414

Address:
304 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63703
Phone: (573) 803-3331
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ALLIANCE HEALTH AND DERMATOLOGY, LLC is a clinic center in Cape Girardeau, MO. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ALLIANCE HEALTH AND DERMATOLOGY, LLC NPI is 1952958449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

304 S MOUNT AUBURN RD
CAPE GIRARDEAU, MO
ZIP 63703-920
Phone: (573) 803-3331

The provider's authorized official is Jennifer Gast .
The authorized official title is Administrator and has the following contact phone number (573) 803-3331.

The CLIA number assigned to this NPI record is 26D2171414 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2019 and was last updated on 8/20/2019.


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
1207N00000XDermatologyNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4261Q00000XClinic/CenterYes

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

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