ALLIANCE MEDICAL GROUP, LLC - NPI 1124641188 - Family Medicine in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Alliance Medical Group, Llc NPPES

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

ALLIANCE MEDICAL GROUP, LLC (NPI 1124641188), doing business as Primary Health Medical Group, is a healthcare organization registered as a family medicine in Boise, Idaho and active in the NPI registry since May 2020. The organization lists Linda Barnes, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1124641188

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameALLIANCE MEDICAL GROUP, LLC

Location Address1475 N COLE RDBoise, ID 83704-8537

Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6503

Phone(208) 809-2880

Fax(208) 809-2881

Organization SubpartNo

Authorized OfficialLinda BarnesCredentialing Mgr · (208) 985-1423

Enumeration DateMay 26, 2020

Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2025

✔ NPI 1124641188 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.

1475 N COLE RD, Boise, ID 83704

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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