Organization
ALLIANCE HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY E WILLIAMS (ADMINISTRATOR)
(662) 252-1212
Entity
Organization
Contact information
Practice address
1430 HWY4-EAST, HOLLY SPRINGS, MS 38635
(662) 252-1212
Mailing address
1430 HWY4-EAST, P.O. DRAWER 6000, HOLLY SPRINGS, MS 38635
(662) 252-1212
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
—
19330
BLUE CROSS-DR-CLAIM
MS
Enumeration date
05/29/2007
Last updated
08/22/2020
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