Active NPI
Alliance Family Services, Inc.
- Community/Behavioral Health Agency
- Twin Falls, ID
National Provider Identifier
1104942218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALLIANCE FAMILY SERVICES, INC.
- Practice address
- 550 Polk St
Suite a
Twin Falls, ID 83301 - Phone
- (208) 734-9619
- Fax
- (208) 734-9441
- NPI assigned
- Mar 21, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Stacy Ann Stephens, LCSW
- Title
- Owner
- Phone
- (208) 737-0572
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Las Vegas, NV
- NPI 1497257356
ID
-
- Psychiatry Physician
- Boise, ID
- NPI 1649597055
-
- Clinical Social Worker
- Twin Falls, ID
- NPI 1588403372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140715001440 | ID | Part B Supplier - Clinic/Group Practice | 6800011438 |
Receives reassigned benefits from 10 practitioners Practice locations: Twin Falls, ID |
National Provider Directory
National Provider DirectoryLocations
202 14th Ave E
#58
Gooding, ID 83330
Phone (208) 737-0572
141 Citation Way
Unit 5
Hailey, ID 83333
Phone (208) 578-2222
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
550 Polk St
Suite a
Twin Falls, ID 83301
Mailing address
550 Polk St
Suite a
Twin Falls, ID 83301
Phone (208) 737-0572
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805539300 | Medicaid | ID |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2018.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532476800000",
"number": "1104942218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 POLK ST",
"address_2": "SUITE A",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "83301",
"telephone_number": "208-737-0572",
"fax_number": "208-734-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 POLK ST",
"address_2": "SUITE A",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "83301",
"telephone_number": "208-734-9619",
"fax_number": "208-734-9441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE FAMILY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2018-07-25",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-737-0572",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805539300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.