# INDIGENOUS HEALTH ALLIANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INDIGENOUS HEALTH ALLIANCE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518657006
- **Authorized official:** CHIEF PATRICK STONE MEDICAL MISSIONARY (MANAGING MEMBER)
- **Authorized official phone:** (240) 573-4148

## Contact information

- **Practice address:** 3310 N DAVIDSON ST APT 365, CHARLOTTE, NC 28205-1284
- **Practice address phone:** (704) 657-0689
- **Mailing address:** 3310 N DAVIDSON ST APT 365, CHARLOTTE, NC 28205-1284
- **Mailing address phone:** (704) 657-0689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251X00000X | Supports Brokerage Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2023
- **Last updated:** 05/09/2023