Organization
FIRST ALLIANCE HEALTHCARE OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALEXANDER (OWNER)
(202) 450-0351
Entity
Organization
Contact information
Practice address
27600 CHAGRIN BLVD SUITE 300, WOODMERE, OH 44104
(216) 417-8813
(216) 916-4783
Mailing address
11201 SHAKER BLVD SUITE 308, CLEVELAND, OH 44104
(216) 417-8813
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0314657
—
OH
05
—
0353381
—
OH
Enumeration date
02/01/2021
Last updated
02/01/2021
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