Healthcare Provider Details

I. General information

NPI: 1396655718
Provider Name (Legal Business Name): ALLIANCE MEDICAL CARE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22211 S ELLSWORTH RD
QUEEN CREEK AZ
85142-9501
US

IV. Provider business mailing address

2649 FLAMINGO LN
FORT LAUDERDALE FL
33312-4759
US

V. Phone/Fax

Practice location:
  • Phone: 800-348-4623
  • Fax: 210-547-9603
Mailing address:
  • Phone: 830-203-2618
  • Fax: 866-399-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STACY BECKERS
Title or Position: CEO
Credential:
Phone: 800-348-4623