Organization
ALLIANCE HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY E WILLIAMS SR. (ADMINISTRATOR)
(662) 252-1212
Entity
Organization
Contact information
Practice address
1430 HIGHWAY 4 E, POST OFFICE DRAWER BOX 6000, HOLLY SPRINGS, MS 38635-2140
(662) 252-1212
Mailing address
1430 HIGHWAY 4 E, P.O.BOX 6000, HOLLY SPRINGS, MS 38635-2140
(662) 252-1212
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00994
MEDICARE-PRO-FEE-GROUP
MS
Enumeration date
07/30/2007
Last updated
07/30/2007
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