Provider Demographics
NPI:1588493423
Name:HEALTHY ALLIANCE FOUNDATION, INC.
Entity type:Organization
Organization Name:HEALTHY ALLIANCE FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP REGULATORY AFFAIRS
Authorized Official - Prefix:MR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-265-5578
Mailing Address - Street 1:430 FRANKLIN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305-2018
Mailing Address - Country:US
Mailing Address - Phone:518-265-5578
Mailing Address - Fax:
Practice Address - Street 1:430 FRANKLIN ST FL 2
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-2018
Practice Address - Country:US
Practice Address - Phone:518-265-5578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management