| Alliance Health Center Inc. | |
|
5000 Hwy 39 N Meridian MS 39301-1021 | |
| (601) 581-9906 | |
| Not Available |
| Full Name | Alliance Health Center Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5000 Hwy 39 N, Meridian, Mississippi |
| Authorized Official Name and Position | Steve Filton (SR VP CFO) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Health Center Inc. 5000 Hwy 39 N Meridian MS 39301-1021 Ph: (601) 581-9906 | Alliance Health Center Inc. 5000 Hwy 39 N Meridian MS 39301-1021 Ph: (601) 581-9906 |
| NPI Number | 1679850150 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 1355366113 |
|---|---|
| Medicare Enrollment ID | O20051011000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679850150 | NPI | - | NPPES |
| Provider Name | Timothy L Arnold |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861462178 PECOS PAC ID: 0244323707 Enrollment ID: I20070829000929 |
| Provider Name | John E Wilkaitis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154360824 PECOS PAC ID: 9739113440 Enrollment ID: I20080117000395 |
| Provider Name | Tearrah S Conerly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174878193 PECOS PAC ID: 2163660291 Enrollment ID: I20130601000052 |
| Provider Name | Priscilla M Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174909865 PECOS PAC ID: 7719296755 Enrollment ID: I20151014001870 |
| Provider Name | Diane D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184101453 PECOS PAC ID: 8325398878 Enrollment ID: I20180905001028 |
| Provider Name | Jonathan D Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104351758 PECOS PAC ID: 1456627512 Enrollment ID: I20190802001276 |
| Provider Name | Andrea Skelton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003131285 PECOS PAC ID: 5890092514 Enrollment ID: I20191001002285 |
| Provider Name | Tiffany Alyssa Roulier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417517830 PECOS PAC ID: 1951734631 Enrollment ID: I20191211000575 |
| Provider Name | Kristen M Thames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407493596 PECOS PAC ID: 5698101798 Enrollment ID: I20200210001003 |
| Provider Name | Shauntae S Causey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629600721 PECOS PAC ID: 4082038559 Enrollment ID: I20200717000639 |
| Provider Name | Seth J Kalin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265929830 PECOS PAC ID: 7517219660 Enrollment ID: I20200917002995 |
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