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ALLIANCE MEDICAL GROUP, LLC
NPI 1629214960
Family Medicine in Caldwell, ID

Active since December 16, 2008
4815 CLEVELAND BLVD, CALDWELL, ID 83605(208) 455-3545(208) 454-9690 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2025, Jan 26, 2022 (2 updates tracked since 2022).

About Alliance Medical Group, Llc NPPES

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

ALLIANCE MEDICAL GROUP, LLC (NPI 1629214960), 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 December 2008. The organization lists Linda Barnes, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1629214960
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLIANCE MEDICAL GROUP, LLC
Location Address4815 CLEVELAND BLVDCaldwell, ID 83605-6501
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6503
Phone(208) 455-3545
Fax(208) 454-9690
Organization SubpartNo
Authorized OfficialLinda BarnesCredentialing Mgr · (208) 985-1423
Enumeration DateDecember 16, 2008
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1629214960 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.
4815 CLEVELAND BLVD, 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 5

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

KAREN ANN BEAN NP
Nurse Practitioner
4815 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 455-3545
DR. CODY JOSEPH ROGERS DO
Family Medicine
4815 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 455-3545
MICHAEL SLACK DO
Family Medicine
4815 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 455-3545
DONALD E SANFORD JR. PA
Physician Assistant
4815 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 455-3545
DR. DEREK B HAMBLIN M.D.
Family Medicine
4815 CLEVELAND BLVD
CALDWELL, ID 83605
Canyon County (208) 455-3545

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 1629214960. It was assigned to this organization in the NPPES registry on December 16, 2008. The provider is doing business as Primary Health Medical Group.

Where is Alliance Medical Group, LLC located?

Alliance Medical Group, LLC is located at 4815 Cleveland Blvd, Caldwell, ID 83605. The listed phone number is (208) 455-3545.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.