PRIMARY HEALTH MEDICAL GROUP
NPI 1821361387
Family Medicine in Boise, ID

NPI Status: Active since February 14, 2012

Contact Information

300 W MYRTLE ST
BOISE, ID
ZIP 83702
Phone: (208) 472-9082
Fax: (208) 472-9083

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  • Organization
  • Family Medicine
  • CLIA Number: 13D2043748
  • CLIA Cert. Type: PPMP
  • CLIA Exp. Date: 07-09-2024

About PRIMARY HEALTH MEDICAL GROUP

Primary Health Medical Group is a primary care provider established in Boise, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1821361387 assigned on February 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Primary Health Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Primary Health Medical Group. The authorized official of this NPI record is David Peterman M.d. (President)

NPI
1821361387
Provider Legal Name
ALLIANCE MEDICAL GROUP, LLC.
Other Organization Name
PRIMARY HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 W MYRTLE ST BOISE, ID 83702
Location Phone
(208) 472-9082
Location Fax
(208) 472-9083
Mailing Address
PO BOX 191050 BOISE, ID 83719
Mailing Phone
(208) 955-6500
Mailing Fax
(208) 472-9083
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
02-14-2012
Last Update Date
02-14-2012
Code Navigator

A primary care provider (PCP) like Primary Health Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID PETERMAN M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 955-6522

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2043748
Facility Type
Physician Office
Certificate Effective Date
July 10, 2022
Certificate Expiration Date
July 09, 2024
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Primary Health Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for PRIMARY HEALTH MEDICAL GROUP

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821361387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841662316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 6 + 6 + 2 + 3 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1821361387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033329842DR. APRIL DILLION DO
Individual
Family Medicine300 W MYRTLE ST SUITE 100
BOISE, ID 83702
(208) 472-9082
1740515287 RACHEL N. LEVITCH PHYSICIAN ASSISTANT
Individual
Physician Assistant (Medical)300 W MYRTLE ST SUITE 100
BOISE, ID 83702
(208) 472-9082
1649668765 KELLY BEACH PA
Individual
Physician Assistant300 W MYRTLE ST SUITE 100
BOISE, ID 83702
(208) 472-9082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821361387, enumerated in the NPI registry as an "organization" on February 14, 2012

The provider is located at 300 W Myrtle St Boise, Id 83702 and the phone number is (208) 472-9082

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 13D2043748 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on February 14, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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