Healthcare Provider Details

I. General information

NPI: 1356287650
Provider Name (Legal Business Name): ALLIANCE MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8499 OLD REDWOOD HWY STE 110
WINDSOR CA
95492-8057
US

IV. Provider business mailing address

1381 UNIVERSITY ST
HEALDSBURG CA
95448-3314
US

V. Phone/Fax

Practice location:
  • Phone: 707-433-5494
  • Fax: 707-431-8649
Mailing address:
  • Phone: 707-433-5494
  • Fax: 707-431-8649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: SUSANNAH RACHAEL LABBE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 559-349-2621