Provider Demographics
NPI:1932187283
Name:ALLIANCE HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ALLIANCE HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-516-1434
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT 551
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0551
Mailing Address - Country:US
Mailing Address - Phone:901-516-1999
Mailing Address - Fax:901-382-1979
Practice Address - Street 1:5050 POPLAR AVE STE 115
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38157-0115
Practice Address - Country:US
Practice Address - Phone:901-395-2102
Practice Address - Fax:901-516-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-06
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000433332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1452934Medicaid
TN1452934Medicaid