| Alliance Health Care, Llc | |
|
1710 D State Route 121 North Murray KY 42071 | |
| (270) 753-6100 | |
| (270) 767-9490 |
| Full Name | Alliance Health Care, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1710 D State Route 121 North, Murray, Kentucky |
| Authorized Official Name and Position | Brian Scott Foster (PRESIDENT) |
| Authorized Official Contact | 2707536100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Health Care, Llc 1710 D State Route 121 North Murray KY 42071 Ph: (270) 753-6100 | Alliance Health Care, Llc 1710 D State Route 121 North Murray KY 42071 Ph: (270) 753-6100 |
| NPI Number | 1881146033 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
| Medicare PECOS PAC ID | 2062797939 |
|---|---|
| Medicare Enrollment ID | O20170316001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881146033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3004606 (Kentucky) | Primary |
| Provider Name | Brian Scott Foster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689702037 PECOS PAC ID: 7618967647 Enrollment ID: I20040513000270 |
| Provider Name | Shanna S Scales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619955630 PECOS PAC ID: 1658410220 Enrollment ID: I20091120000567 |
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