Healthcare Provider Details

I. General information

NPI: 1477233492
Provider Name (Legal Business Name): ALLIANCE MEDICAL CARE CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3954 S 300 E
ANDERSON IN
46017-9766
US

IV. Provider business mailing address

2649 FLAMINGO LN
FORT LAUDERDALE FL
33312-4759
US

V. Phone/Fax

Practice location:
  • Phone: 210-595-9958
  • Fax: 210-547-9603
Mailing address:
  • Phone: 210-595-9958
  • Fax: 210-547-9603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BAILEY CALDWELL
Title or Position: ADMIN
Credential:
Phone: 210-595-9958