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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
EAP03923F
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
EAP03923F
CA
Enumeration date
07/02/2007
Last updated
07/30/2020
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