Organization
ALLIANCE HEALTHCARE SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY E WILLIAMS (ADMINISTRATOR)
(662) 252-1212
Entity
Organization
Contact information
Practice address
1430 HIGHWAY 4 E, HOLLY SPRINGS, MS 38635-2140
(662) 252-1212
(662) 551-3421
Mailing address
1430 HWY 4-EAST, HOLLY SPRINGS, MS 38635
(662) 252-1212
(662) 551-3421
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16-252
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80430
BLUE CROSS-SB
MS
Enumeration date
05/17/2007
Last updated
04/08/2008
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