# ALLIANCE HEALTHCARE SYSTEM, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLIANCE HEALTHCARE SYSTEM
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104099472
- **Legal business name:** ALLIANCE HEALTHCARE SYSTEM
- **Authorized official:** MR. PERRY E WILLIAMS SR. (ADMINISTRATOR)
- **Authorized official phone:** (662) 252-1212

## Contact information

- **Practice address:** 1430 HIGHWAY 4 E, HOLLY SPRINGS, MS 38635-2140
- **Practice address phone:** (662) 252-1212
- **Mailing address:** 1430 HIGHWAY 4 E, HOLLY SPRINGS, MS 38635-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 04/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015739 | — | MS |