# ALLIANCE PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184897126
- **Authorized official:** JAMES LARSON (SENIOR DIRECTOR OF PATIENT ACCOUNTS)
- **Authorized official phone:** (513) 585-9336

## Contact information

- **Practice address:** 140 PLAZA DR, COLD SPRING, KY 41076-2166
- **Practice address phone:** (859) 442-1500
- **Practice address fax:** (859) 442-1501
- **Mailing address:** 3200 BURNET AVE, 1 RIDGEWAY, CINCINNATI, OH 45229-3019
- **Mailing address phone:** (513) 585-9009
- **Mailing address fax:** (513) 585-9373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 04/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2609136 | — | OH |