NPI 1316556848 · live from the CMS NPI Registry
Alliance Health Centers, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Fort Wayne, IN. National Provider Identifier 1316556848, active.
NPI record
| NPI | 1316556848 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X |
| Practice location | 2700 Lafayette St Ste 110, Fort Wayne, IN 46806 |
| Practice phone | 812-230-5150 |
| Enumerated | July 30, 2020 |
| Last updated | June 10, 2024 |
| Authorized official | Brooke Lockhart, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Clinic/Center, Federally Qualified Health Center (FQHC) primary | 261QF0400X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.