1. Home
  2. Directory
  3. Idaho
  4. Sandpoint
  5. Non Emergency Medical Transport Van
  6. NPI Profile
  7. NPI Record 1639492093

ALLIANCE FAMILY SERVICES
Complete NPI Record 1639492093
Non-emergency Medical Transport (VAN) in Sandpoint, ID

NPI Status: Active since March 12, 2010

Contact Information

608 S DIVISION AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 265-5049
Fax: (208) 263-7515

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Title or Position
  24. Authorized Official Telephone Number
  25. Healthcare Provider Taxonomy Code 1
  26. Healthcare Provider Primary Taxonomy Switch 1
  27. Other Provider Identifier 1
  28. Other Provider Identifier Type Code 1
  29. Other Provider Identifier State 1
  30. Is Organization Subpart

Complete NPI Dataset

This page represents the complete record for NPI 1639492093. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1639492093
The first name of the authorized official.
Entity Type Code: 2
The middle name of the authorized official.
Employer Identification Number EIN: UNAVAIL
The title or position of the authorized official.
The 10-position telephone number of the authorized official.
Provider First Line Business Mailing Address: 608 S DIVISION AVE
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address City Name: SANDPOINT
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Mailing Address State Name: ID
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 838641749
Provider Business Mailing Address Country Code If outside U S : US
Provider Business Mailing Address Telephone Number: 2082655049
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Mailing Address Fax Number: 2082637515
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider First Line Business Practice Location Address: 608 S DIVISION AVE
Provider Business Practice Location Address City Name: SANDPOINT
Provider Business Practice Location Address State Name: ID
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address Postal Code: 838641749
Provider Business Practice Location Address Country Code If outside U S : US
Provider Business Practice Location Address Telephone Number: 2082655049
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address Fax Number: 2082637515
Provider Enumeration Date: 3/12/2010
Last Update Date: 5/24/2010
The date that a record was last updated or changed.
Authorized Official Last Name: LANGE
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: TRACEY
The first name of the authorized official.
Authorized Official Title or Position: DIRECTOR
The title or position of the authorized official.
Authorized Official Telephone Number: 2082655049
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 343900000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 8085842
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: ID
Is Organization Subpart: N