NPIMap

Organization Active NPI

Alliance Family Medicine LLC

  • Family Medicine Physician
  • Alliance, NE
National Provider Identifier
1194751776
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLIANCE FAMILY MEDICINE LLC
Practice address
2091 Box Butte Ave, Suite 500
Alliance, NE 69301
Phone
(308) 762-2534
Fax
(308) 762-2764
NPI assigned
Jun 24, 2006
Last updated
Mar 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Marti D. Jordan
Title
Office Manager
Phone
(308) 762-2534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2091 Box Butte Ave, Suite 500
Alliance, NE 69301

Mailing address

2091 Box Butte Ave, Suite 500
Alliance, NE 69301
Phone (308) 762-2534

Other identifiers 1

IdentifierTypeStateIssuer
10025270600MedicaidNE

National Provider Directory

National Provider Directory

Locations

2091 Box Butte Ave
Ste 500
Alliance, NE 69301
Phone (308) 762-2534

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

Practitioners & affiliated clinicians

Practitioners 103

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.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1194751776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 BOX BUTTE AVE, SUITE 500",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "69301",
            "telephone_number": "308-762-2534",
            "fax_number": "308-762-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 BOX BUTTE AVE, SUITE 500",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "69301",
            "telephone_number": "308-762-2534",
            "fax_number": "308-762-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARTI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "308-762-2534"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025270600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.