MEDICARE: R.M. ALLIANCE FAMILY HEALTH CENTER

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
1	261Q00000X	Clinic/Center	14434	AZ

General Provider Information

NPI Number	:	1811039712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R.M. ALLIANCE FAMILY HEALTH CENTER

Provider Business Mailing Address
First Line	:	13821 N 35TH DR STE 1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5541
Country	:	US
Telephone Number	:	602-866-2843
Fax Number	:	602-866-2847

Provider Business Practice Location Address
First Line	:	13821 N 35TH DR STE 1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85053-5541
Country	:	US
Telephone Number	:	602-866-2843
Fax Number	:	602-866-2847

Authorized Official
Title or Position	:	STAFF PHYSICIAN
Name	:	DR. LIEUTENANT WAYNE FINLEY
Credential	:	M.D.
Telephone Number	:	602-866-2843

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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