| Alliance Health Centers, Inc. | |
|
404 E Washington Blvd Fort Wayne IN 46802-3210 | |
| (260) 266-0780 | |
| (260) 266-0785 |
| Full Name | Alliance Health Centers, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 404 E Washington Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Autumn Nichole King (CEO) |
| Authorized Official Contact | 2602660787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Health Centers, Inc. 2700 Lafayette St Ste 110 Fort Wayne IN 46806-1100 Ph: (260) 266-0780 | Alliance Health Centers, Inc. 404 E Washington Blvd Fort Wayne IN 46802-3210 Ph: (260) 266-0780 |
| NPI Number | 1588347546 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Medicare PECOS PAC ID | 8022437318 |
|---|---|
| Medicare Enrollment ID | O20231027001604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588347546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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