DHCS# Attachment A Site Review Survey 2012 California Department of Health Care Services Medi-Cal Managed Care Division Health Plan: Central California Provider / Address Alliance for Health Review Date: -------------- Last review: --------- -------- Contact person / title Fax Fire Clearance ----Current YeslNo No. Of staff on site RN Physician NP Clerical CNM other PA Reviewer / title.
DHCS# Attachment A Site Review Survey 2012 California Department of Health Care Services Medi-Cal Managed Care Division Health Plan: Central California Provider / Address Alliance for Health Review Date: -------------- Last review: --------- -------- Contact person / title Fax Fire Clearance ----Current YeslNo No. Of staff on site RN Physician NP Clerical CNM other PA Reviewer / title.
DHCS# Attachment A Site Review Survey 2012 California Department of Health Care Services Medi-Cal Managed Care Division Health Plan: Central California Provider / Address Alliance for Health Review Date: -------------- Last review: --------- -------- Contact person / title Fax Fire Clearance ----Current YeslNo No. Of staff on site RN Physician NP Clerical CNM other PA Reviewer / title.