NPIMap

Organization Active NPI

Allies Family Solutions

  • Community/Behavioral Health Agency
  • Pocatello, ID
National Provider Identifier
1013130418
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALLIES FAMILY SOLUTIONS
Practice address
850 E Lander St
Pocatello, ID 83201-5763
Phone
(208) 234-2094
Fax
(208) 234-2637
NPI assigned
Apr 11, 2007
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Preston Graham
Title
Owner
Phone
(208) 234-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

850 E Lander St
Pocatello, ID 83201-5763

Mailing address

850 E Lander St
Pocatello, ID 83201-5763
Phone (208) 234-2094

Other identifiers 1

IdentifierTypeStateIssuer
8040504MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Ala LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 E Lander St
Pocatello, ID 83201
Phone (208) 234-2094

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1013130418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E LANDER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015763",
            "telephone_number": "208-234-2094",
            "fax_number": "208-234-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E LANDER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015763",
            "telephone_number": "208-234-2094",
            "fax_number": "208-234-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIES FAMILY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-234-2094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8040504",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.