Alliance Medical Group, LLC
Organization Active NPI Pediatrics Physician · Nampa, ID
NPI 1457032138 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1457032138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ALLIANCE MEDICAL GROUP, LLC
- Practice address
- 700 Caldwell Blvd
Nampa, ID 83651-1707 - Phone
- (208) 809-2892
- Fax
- (208) 809-2893
- NPI assigned
- Jul 26, 2023
- Organization subpart
- No
Authorized official
- Name
- Linda Barnes
- Title
- Credentialing MGR
- Phone
- (208) 985-1423
Corporate family (same tax ID) 16
Practitioners 3
-
Juliet P Lener, M.D.
-
John Ervin Smith, PA-C
National Provider Directory
- Tax ID family
- Alliance Medical Group LLC
Locations
700 Caldwell Blvd
Nampa, ID 83651
Phone (208) 466-6567
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
700 Caldwell Blvd
Nampa, ID 83651-1707
Mailing address
PO Box 191050
Boise, ID 83719-1050
Other names
- Primary Health Medical Group
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.