Organization
ALLIANCE HEALTH PARTNERS, LLC
Active
Other names
Tri-Lakes Womens Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization
Contact information
Practice address
255 MEDICAL CENTER DRIVE, SUITE B, BATESVILLE, MS 38606-8608
(662) 563-5611
(662) 563-0155
Mailing address
PO BOX 731804, DALLAS, TX 75373-1084
(662) 563-2163
(662) 563-3999
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08970215
—
MS
Enumeration date
09/10/2009
Last updated
05/26/2016
Update your record
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