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ALLIANCE MEDICAL GROUP, LLC
NPI 1073079463
Family Medicine in Caldwell, ID

Active since February 11, 2019
512 N 21ST AVE, CALDWELL, ID 83605(208) 809-2875(208) 809-2876 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2025, Feb 11, 2019 (2 updates tracked since 2019).

About Alliance Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLIANCE MEDICAL GROUP, LLC (NPI 1073079463), doing business as Primary Health Medical Group, is a healthcare organization registered as a family medicine in Caldwell, Idaho and active in the NPI registry since February 2019. The organization lists Linda Barnes, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1073079463
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLIANCE MEDICAL GROUP, LLC
Location Address512 N 21ST AVECaldwell, ID 83605-4368
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6522 · Fax (208) 955-6503
Phone(208) 809-2875
Fax(208) 809-2876
Organization SubpartNo
Authorized OfficialLinda BarnesCredentialing Mgr · (208) 985-1423
Enumeration DateFebruary 11, 2019
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1073079463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

512 N 21ST AVE, Caldwell, ID 83605
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Other Names 1

Doing Business AsPrimary Health Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAUL GODINA PA-C
Physician Assistant
512 N 21ST AVE
CALDWELL, ID 83605
Canyon County (208) 809-2875
PATRICK D STOWELL MD
Family Medicine
512 N 21ST AVE
CALDWELL, ID 83605
Canyon County (208) 809-2875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alliance Medical Group, LLC's NPI number?

The NPI number for Alliance Medical Group, LLC is 1073079463. It was assigned to this organization in the NPPES registry on February 11, 2019. The provider is doing business as Primary Health Medical Group.

Where is Alliance Medical Group, LLC located?

Alliance Medical Group, LLC is located at 512 N 21st Ave, Caldwell, ID 83605. The listed phone number is (208) 809-2875.

What is Alliance Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Alliance Medical Group, LLC was last updated on February 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.