Active NPI
Alliance Medical Group, LLC
Doing business as Primary Health Medical Group
- Family Medicine Physician
- Boise, ID
National Provider Identifier
1124641188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALLIANCE MEDICAL GROUP, LLC
- Doing business as
- Primary Health Medical Group
- Practice address
- 1475 N Cole Rd
Boise, ID 83704-8537 - Phone
- (208) 809-2880
- Fax
- (208) 809-2881
- NPI assigned
- May 26, 2020
- Last updated
- Feb 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Barnes
- Title
- Credentialing MGR
- Phone
- (208) 985-1423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1475 N Cole Rd
Boise, ID 83704-8537
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500
Other names 1
- Primary Health Medical Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2187010 | Primary Health Medical Group-Cole/Fairview | Provider-performed microscopy | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Boise, ID
- NPI 1710450333
-
- Nurse Practitioner
- Boise, ID
- NPI 1174164263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1124641188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191050",
"city": "BOISE",
"state": "ID",
"postal_code": "837191050",
"telephone_number": "208-955-6500",
"fax_number": "208-955-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 N COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837048537",
"telephone_number": "208-809-2880",
"fax_number": "208-809-2881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CREDENTIALING MGR",
"authorized_official_telephone_number": "208-985-1423"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Health Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Primary Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boise, ID
- Trina Nanette Allen, LCSW
- Victoria Lynne Allen, LPC
- Allergy Clinic - Idaho, Inc.
- Allergy Group PC
- Jessica Alles
- Alliance Medical Group, LLC (Primary Health Medical Group)
- Alliance Medical Group, LLC (Primary Health Medical Group)
- Alliance Medical Group, LLC (Primary Health Medical Group)
- Alliance Medical Group, LLC (Primary Health Medical Group)
- Alliance Medical Group, LLC (Primary Health Medical Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.