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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)

General Provider Information

NPI Number : 1467170696
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE ALLIANCE
Provider Business Mailing Address
First Line : 2916 CENTRAL AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-3229
Country : US
Telephone Number : 216-535-9100
Fax Number : 216-535-2626
Provider Business Practice Location Address
First Line : 7300 SAINT CLAIR AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1754
Country : US
Telephone Number : 216-535-9100
Fax Number : 216-535-2626
Authorized Official
Title or Position : PRESIDENT & CEO
Name : CLAUDE L JONES
Credential : DO
Telephone Number : 216-535-9100
Provider Enumeration Date : 08/15/2022
Last Update Date : 08/16/2022

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Directions to “CARE ALLIANCE ” Practice Location

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