MEDICARE: RM ALLIANCE FAMILY HEALTH CTR INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332900000X	Non-Pharmacy Dispensing Site	14434	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0353312	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number	:	1306862255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RM ALLIANCE FAMILY HEALTH CTR INC

Provider Business Mailing Address
First Line	:	POC MANAGEMENT LLC
Second Line	:	3000 W WARNER AVE
City	:	SANTA ANA
State	:	CA
Zip	:	92704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13821 N 35TH DR STE 1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5541
Country	:	US
Telephone Number	:	602-866-2843
Fax Number	:	602-866-2847

Authorized Official
Title or Position	:	MD
Name	:	WAYNE FINLEY
Credential	:
Telephone Number	:	602-866-2843

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	08/22/2020

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