Healthcare Provider Details

I. General information

NPI: 1104846419
Provider Name (Legal Business Name): HEALTH ALLIANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 W MAIN ST
LOUISVILLE OH
44641-1310
US

IV. Provider business mailing address

PO BOX 2779
ALLIANCE OH
44601
US

V. Phone/Fax

Practice location:
  • Phone: 330-875-5625
  • Fax: 330-875-5723
Mailing address:
  • Phone: 330-875-5625
  • Fax: 330-875-5723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number1573828
License Number StateOH

VIII. Authorized Official

Name: LISA GEIGER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 330-596-7528