| Alliance Healthcare System Inc | |
|
39 South Center Street Potts Camp MS 38659 | |
| (662) 333-6933 | |
| (662) 333-6931 |
| Full Name | Alliance Healthcare System Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 39 South Center Street, Potts Camp, Mississippi |
| Authorized Official Name and Position | Kenneth Williams (OWNER) |
| Authorized Official Contact | 6622521599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Healthcare System Inc 39 Center Street Potts Camp MS 38659 Ph: (662) 333-6933 | Alliance Healthcare System Inc 39 South Center Street Potts Camp MS 38659 Ph: (662) 333-6933 |
| NPI Number | 1851446033 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851446033 | NPI | - | NPPES |
| 09013973 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |