Organization
ALLIANCE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN CHURCHILL (CEO)
(707) 385-2306
Entity
Organization
Contact information
Practice address
1381 UNIVERSITY ST, HEALDSBURG, CA 95448-3314
(707) 433-5494
(707) 385-2157
Mailing address
1381 UNIVERSITY ST, HEALDSBURG, CA 95448-3314
(707) 433-5494
(707) 385-2157
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
BCP03923F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP03923F
—
CA
Enumeration date
07/02/2007
Last updated
07/30/2020
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