Healthcare Provider Details

I. General information

NPI: 1013469816
Provider Name (Legal Business Name): ALLIANCE HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2016
Last Update Date: 10/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 MEDICAL CENTER DR SUITE B
BATESVILLE MS
38606
US

IV. Provider business mailing address

PO BOX 689022
FRANKLIN TN
37068-9022
US

V. Phone/Fax

Practice location:
  • Phone: 662-563-2163
  • Fax: 662-563-0155
Mailing address:
  • Phone: 615-778-8071
  • Fax: 615-628-6877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateMS

VIII. Authorized Official

Name: MICHAEL SWAW
Title or Position: DIRECTOR OF PROVIDER ENROLLMENT
Credential:
Phone: 615-778-8076