Organization Name: | ALIANCE COMMUNITY HEALTH SERVICE NETWORK |
NPI Number: | 1316340516 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH AYELE (ADMINISTRATOR) |
Mailing Address: | 16005 Intl Blvd A Seatac |
State: | WA US |
Postal Code: | 981882651 |
Phone Number: | 2066537917 |
Fax Number: | 2066537300 |
NPI Enumeration Date: | 10/01/2014 |
NPI Last Update Date: | 10/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 603294323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |