# ALLIANCE HEALTH PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri Lakes Pediatric Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033186333
- **Authorized official:** JENNY HERRON (HMPN)
- **Authorized official phone:** (662) 563-5611

## Contact information

- **Practice address:** 435 HIGHWAY 6 E, BATESVILLE, MS 38606-3001
- **Practice address phone:** (662) 563-7873
- **Practice address fax:** (662) 563-8129
- **Mailing address:** PO BOX 731804, DALLAS, TX 75373-1804
- **Mailing address phone:** (662) 563-7873
- **Mailing address fax:** (662) 563-8129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2006
- **Last updated:** 04/23/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09013323 | — | MS |
| 01 | — | C03436 | CAHABA | MS |