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ALLIANCE MEDICAL GROUP LLC NPI 1457868002


NPI Information

NPI: 1457868002
Provider Name: ALLIANCE MEDICAL GROUP, LLC

Doing Business As: PRIMARY HEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D2142516

Address:
1375 N HAPPY VALLEY RD
NAMPA, ID
ZIP 83687
Phone: (208) 809-2869
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ALLIANCE MEDICAL GROUP, LLC is a family medicine in Nampa, ID. The provider is 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. ALLIANCE MEDICAL GROUP, LLC NPI is 1457868002. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Primary Health Medical Group.

The provider's business location address is:

1375 N HAPPY VALLEY RD
NAMPA, ID
ZIP 83687-280
Phone: (208) 809-2869
Fax: (208) 809-2870

The provider's authorized official is Trisha Nauman .
The authorized official title is Credentialing and has the following contact phone number (208) 955-6522.

The CLIA number assigned to this NPI record is 13D2142516 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/4/2018 and was last updated on 1/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineIDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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