Organization · NPI-2
Alliance Medical Group, LLC
Family Medicine · Meridian, ID
NPI number1306348602
StatusActive
Last updated in NPPESFeb 17, 2025
Details
- NPI
- 1306348602
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 2, 2018
- Certification date
- Feb 17, 2025
- Last updated
- Feb 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Primary Health Medical Group (Doing Business As)
Practice location
260 S Ten Mile RdMeridian, ID 83642-6100
Phone 208-809-2872 · Fax 208-809-2873
Mailing address
Po Box 191050Boise, ID 83719-1050
Phone 208-955-6522
Authorized official
Linda Barnes
Credentialing Mgr
2089851423
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Medicine providers in Meridian, ID
- A New Leaf, INCNPI 1629492814
- Dr. Brenda J Adams, MDNPI 1205887288
- Ageless Women'S Health Id LLCNPI 1235975202
- Akos Live, LLCNPI 1760940084
- Align Integrated Medical LLCNPI 1619484102
- Ginger A. Allen, MDNPI 1568490340
- Alliance Medical Group, LLCNPI 1033534276
- Alliance Medical Group, LLCNPI 1407092794
- Alliance Medical Group, LLCNPI 1386003770
- Alliance Medical Group, LLCNPI 1780820076