Organization
ALLIANCE COMMUNITY MEDICAL FOUNDATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GEIGER (CHIEF FINANCIAL OFFICER)
(330) 596-7528
Entity
Organization
Contact information
Practice address
200 E STATE ST, ALLIANCE, OH 44601-4936
(330) 596-6570
(330) 829-8689
Mailing address
200 E STATE ST, ALLIANCE, OH 44601-4936
(330) 829-9389
(330) 829-9372
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2866788
—
OH
Enumeration date
11/05/2008
Last updated
09/13/2019
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