Provider Demographics
NPI:1962724526
Name:HEALTH EQUITY ALLIANCE
Entity type:Organization
Organization Name:HEALTH EQUITY ALLIANCE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:D ALESSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-990-3626
Mailing Address - Street 1:304 HANCOCK ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6573
Mailing Address - Country:US
Mailing Address - Phone:207-888-2129
Mailing Address - Fax:207-888-2129
Practice Address - Street 1:304 HANCOCK ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6573
Practice Address - Country:US
Practice Address - Phone:207-990-3626
Practice Address - Fax:207-664-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management