| Organization Name: | ALLIANCE MEDICAL CENTER |
| NPI Number: | 1326244096 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRISCILLA CONTRERAS (COO) |
| Mailing Address: | 1381 University St Healdsburg |
| State: | CA US |
| Postal Code: | 954483314 |
| Phone Number: | 7074318234 |
| Fax Number: | 7074311427 |
| NPI Enumeration Date: | 06/21/2007 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | HAP03923F |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |