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

Q: 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.

Q: What is Alliance Medical Group, LLC's specialty?

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

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: October 18, 2026.

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

On this page

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alliance Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIdahoEnrollment IDO20190509002527DME · Physician - Family PracticeDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 3

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

KRISTA MARIE BUSH FNP-C

Nurse Practitioner

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.

Is Alliance Medical Group, LLC enrolled in Medicare?

Yes. Alliance Medical Group, LLC is registered in the Medicare PECOS enrollment system.

When is Alliance Medical Group, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Idaho, Physician - Family Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Alliance Medical Group, LLC accept?

Health plans from Select Health list Alliance Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.