ALLIANCE OUTREACH SERVICES


Address: 512 Capital Heights Dr, Boulder, MT 59632
Phone: 4062254258

ALLIANCE OUTREACH SERVICES (NPI# 1750404661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750404661
Entity Type Organization
Organization Name ALLIANCE OUTREACH SERVICES
Practice Address 512 Capital Heights Dr
Boulder
MT 59632
Mailing Address Po Box 464
Boulder
MT 59632-0464
Practice Telephone 4062254258
Practice Fax Number 4062253168
Mailing Telephone 4062254258
Mailing Fax Number 4062253168
Enumeration Date 2007-04-06
Last Update Date 2020-08-22
Authorized Official Name JOHN BARRAGATO (CO-OWNER)
Authorized Official Telephone 4062254258
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Office Location

Street Address 512 CAPITAL HEIGHTS DR
City BOULDER
State MT
Zip Code 59632

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438074 Wendie J. Vanderwater Social Worker 110 Venture Way, Boulder, MT 59632 2019-03-28
1487029336 Kristin Nicole Fearon Social Worker 105 Venture Way, Boulder, MT 59632 2015-12-03
1790171494 Kayla M. Beadle-reinhardt Social Worker 105 Venture Ave, Boulder, MT 59632 2015-04-09
1760504310 Jeni E Leary Social Worker 40 Hanging Wall Road, Boulder, MT 59632 2007-04-04
1770080426 Jessica Nicole Cole Counselor 105 Venture Way, Boulder, MT 59632 2018-04-10
1679097638 Amy Sue Braaksma Nurse Practitioner 214 S. Main St., Boulder, MT 59632 2017-08-01
1316353105 Veronica J Champer Nurse Practitioner 214 South Main Street, Boulder, MT 59632 2014-07-01
1891830931 Vermon Craig Barney Dentist 211 North Main, Boulder, MT 59632 2007-02-20
1588722383 Jefferson County Health Department Public Health or Welfare 214 South Main Street, Boulder, MT 59632 2006-12-05
1043396054 Elkhorn Mountain Health Services Inc Family Medicine 214 South Main, Boulder, MT 59632 2006-10-31
Find all providers in zip 59632

Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Competitor

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City BOULDER
Zip Code 59632

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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