ALLIANCE MEDICAL GROUP, LLC
NPI 1770729063
Pediatrics in Meridian, ID

Active since December 17, 2008
3280 E. LANARK DRIVE, MERIDIAN, ID 83642(208) 377-4400(208) 377-4416 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, Feb 13, 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 1770729063), doing business as Primary Health Medical Group, is a healthcare organization registered as a pediatrics in Meridian, Idaho and active in the NPI registry since December 2008. The organization lists Linda Barnes, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1770729063
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameALLIANCE MEDICAL GROUP, LLC
Location Address3280 E. LANARK DRIVEMeridian, ID 83642
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6503
Fax(208) 377-4416
Organization SubpartNo
Authorized OfficialLinda BarnesCredentialing Mgr · (208) 985-1423
Enumeration DateDecember 17, 2008
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1770729063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3280 E. LANARK DRIVE, Meridian, ID 83642

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.

Family Medicine
3280 E. LANARK DRIVE
MERIDIAN, ID 83642
Nurse Practitioner (Pediatrics)
3280 E. LANARK DRIVE
MERIDIAN, ID 83642

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 1770729063. It was assigned to this organization in the NPPES registry on December 17, 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 3280 E. Lanark Drive, Meridian, ID 83642. The listed phone number is (208) 377-4400.

What is Alliance Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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.