Provider Demographics
NPI:1104716521
Name:ALLIANCE MEDICAL CARE CENTERS
Entity type:Organization
Organization Name:ALLIANCE MEDICAL CARE CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BAILEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAULDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-595-9958
Mailing Address - Street 1:2649 FLAMINGO LN
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-4759
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6618 CRYSTAL DOWNS DR UNIT 206
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-7175
Practice Address - Country:US
Practice Address - Phone:210-595-9958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIANCE MEDICAL CARE CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing