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General NPI Number Information
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NPI Number | 1518879097
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Entity Type | Organization
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Legal Business Name | ALLIANCE FAMILY HEALTH CENTER, INC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 880 SUNNYSIDE ST SW
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City | HARTVILLE
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State | OH
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Zip | 44632-9087
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Country | US
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Telephone | 330-249-7011
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 S ARCH AVE STE A
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City | ALLIANCE
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State | OH
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Zip | 44601-4288
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Country | US
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Telephone | 330-249-7011
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS/COMPLIANCE OFFICER
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Name | AMANDA NELSON
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Credential | MPH, LPN, CHPI
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Telephone | 330-249-7011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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