Provider Demographics
NPI:1093533564
Name:ALAMEDA COUNTY CARE ALLIANCE COLLABORATIVE
Entity type:Organization
Organization Name:ALAMEDA COUNTY CARE ALLIANCE COLLABORATIVE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER-PERRILLIAT (HILL)
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:628-239-3065
Mailing Address - Street 1:8501 INTERNATIONAL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94621-1549
Mailing Address - Country:US
Mailing Address - Phone:628-777-2480
Mailing Address - Fax:
Practice Address - Street 1:8501 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-1549
Practice Address - Country:US
Practice Address - Phone:628-777-2480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty