Organization
FAMILY MEDICAL CENTER OF ALLIANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGI J HOOVER (PRACTICE MANAGER)
(330) 823-3856
Entity
Organization
Contact information
Practice address
149 E SIMPSON ST, ALLIANCE, OH 44601-4219
(330) 823-3856
(330) 829-6688
Mailing address
149 E SIMPSON ST, ALLIANCE, OH 44601-4219
(330) 823-3856
(330) 829-6688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335551
—
OH
01
—
CB3053
MEDICARE RR
OH
Enumeration date
10/12/2006
Last updated
06/30/2010
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