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NPI Code Detail

MEDICARE: CARE ALLIANCE

MEDICARE: CARE ALLIANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)847979

General Provider Information

NPI Number : 1386905644
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE ALLIANCE
Provider Business Mailing Address
First Line : 1530 SAINT CLAIR AVE NE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2004
Country : US
Telephone Number : 216-781-6228
Fax Number : 216-298-5015
Provider Business Practice Location Address
First Line : 1701 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2909
Country : US
Telephone Number : 216-781-6228
Fax Number : 216-298-5015
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. FRANCIS AFRAM-GYENING
Credential : FACHE
Telephone Number : 216-781-6228
Provider Enumeration Date : 06/04/2012
Last Update Date : 06/04/2012

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Directions to “CARE ALLIANCE ” Practice Location

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