| Alliance Healthcare System Inc | |
|
1938 Crescent Meadows Dr Holly Springs MS 38635-7419 | |
| (662) 252-1599 | |
| (662) 252-1986 |
| Full Name | Alliance Healthcare System Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1938 Crescent Meadows Dr, Holly Springs, Mississippi |
| Authorized Official Name and Position | Kenneth Williams (OWNER) |
| Authorized Official Contact | 6622521599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Healthcare System Inc 1938 Crescent Meadows Dr Holly Springs MS 38635-7419 Ph: (662) 252-1599 | Alliance Healthcare System Inc 1938 Crescent Meadows Dr Holly Springs MS 38635-7419 Ph: (662) 252-1599 |
| NPI Number | 1821143256 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 02/25/2015 |
| Medicare PECOS PAC ID | 2961489547 |
|---|---|
| Medicare Enrollment ID | O20040701000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821143256 | NPI | - | NPPES |
| 09013693 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Maan Joudeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366490302 PECOS PAC ID: 9638078694 Enrollment ID: I20040108000254 |
| Provider Name | Ira A Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558375279 PECOS PAC ID: 4688564453 Enrollment ID: I20040525000131 |
| Provider Name | Jim Pang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780690230 PECOS PAC ID: 2769459338 Enrollment ID: I20040928000888 |
| Provider Name | Nancy C Boatwright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437230679 PECOS PAC ID: 8820049919 Enrollment ID: I20050207000250 |
| Provider Name | Stephanie M Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144319252 PECOS PAC ID: 3971554072 Enrollment ID: I20050207000353 |
| Provider Name | Kenneth Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851480974 PECOS PAC ID: 1850364191 Enrollment ID: I20050207000385 |
| Provider Name | Richard G Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871690263 PECOS PAC ID: 6800847914 Enrollment ID: I20050207000420 |
| Provider Name | Girish Vallabhdas Sinojia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235187816 PECOS PAC ID: 1153359237 Enrollment ID: I20051019000800 |
| Provider Name | Barry Joseph Politi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104813625 PECOS PAC ID: 6608978333 Enrollment ID: I20070226000705 |
| Provider Name | Thomas F Fleischhauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902943764 PECOS PAC ID: 7911810064 Enrollment ID: I20080117000457 |
| Provider Name | Brian K Wall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326060070 PECOS PAC ID: 2163410234 Enrollment ID: I20080606000469 |
| Provider Name | Gregory T Stallworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043314057 PECOS PAC ID: 6204909708 Enrollment ID: I20080716000640 |
| Provider Name | Jonathan C Sledge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982868782 PECOS PAC ID: 9638214042 Enrollment ID: I20100309000597 |
| Provider Name | Jerry K Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831184332 PECOS PAC ID: 0244301760 Enrollment ID: I20120208000931 |
| Provider Name | Jorge A Salazar |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1336106681 PECOS PAC ID: 7315910742 Enrollment ID: I20120503000176 |
| Provider Name | Salil S Joshi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558329169 PECOS PAC ID: 6305872318 Enrollment ID: I20120522001088 |
| Provider Name | John E Scallions |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487951042 PECOS PAC ID: 5597929141 Enrollment ID: I20120611000315 |
| Provider Name | David V Pizzimenti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265517056 PECOS PAC ID: 3173552189 Enrollment ID: I20150504000344 |
| Provider Name | Teresa Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043720071 PECOS PAC ID: 4284994799 Enrollment ID: I20180201000427 |
| Provider Name | Nelson K Bond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548208192 PECOS PAC ID: 4486642915 Enrollment ID: I20181121000355 |
| Provider Name | Jennifer Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758059 PECOS PAC ID: 8628310893 Enrollment ID: I20190509000220 |
| Provider Name | Linnea W Lebaron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104287747 PECOS PAC ID: 6901105162 Enrollment ID: I20190813002084 |
| Provider Name | Stephen Leschak |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760430029 PECOS PAC ID: 7315832805 Enrollment ID: I20190819003430 |
| Provider Name | Enesha M Cobb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700067816 PECOS PAC ID: 3173792827 Enrollment ID: I20200305002342 |
Crossroads Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153 Isom Chapel Rd, Holly Springs, MS 38635 Phone: 662-252-9417 | |
Curl & Clark Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 153a South Market Street, Holly Springs, MS 38635 Phone: 662-252-9987 Fax: 662-252-7517 | |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Crescent Meadow Drive, Holly Springs, MS 38635 Phone: 662-502-3149 | |
Holly Springs Family Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Van Dorn Ave, Holly Springs, MS 38635 Phone: 662-274-3212 Fax: 662-274-3213 | |
Hawkins Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 491a Craft St, Holly Springs, MS 38635 Phone: 662-252-6416 Fax: 662-252-3355 |