Active NPI
Alliance Medical Group, LLC
- Family Medicine Physician
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALLIANCE MEDICAL GROUP, LLC
- Practice address
- 7350 W Victory Rd
Boise, ID 83709-4237 - Phone
- (208) 809-2888
- Fax
- (208) 809-2889
- NPI assigned
- Sep 30, 2021
- 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 | Primary |
Addresses
Primary practice location
7350 W Victory Rd
Boise, ID 83709-4237
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500
Other names 1
- Primary Health Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050512000561 | ID | Part B Supplier - Clinic/Group Practice | 3971544685 |
Receives reassigned benefits from 135 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Garden City, ID; Kuna, ID; Meridian, ID; Nampa, ID; Eagle, ID; Boise, ID; Caldwell, ID |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Garden City, ID
- NPI 1568413920
O20050512000561
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 |
|---|---|---|---|
| 13D2240160 | Primary Health Medical Group - Victory & Cole | Provider-performed microscopy | Oct 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
8456 W Emerald Ste 156
Boise, ID 83704
Phone (208) 947-1947
6348 W Emerald St
Boise, ID 83704
Phone (208) 302-0900
1209 S Broadway Ave
Boise, ID 83706
Phone (208) 345-1222
300 W Myrtle St
Ste 100
Boise, ID 83702
Phone (208) 472-9082
4971 W Overland Rd
Boise, ID 83705
Phone (208) 472-5050
10787 W Ustick Rd
Boise, ID 83713
Phone (208) 378-8011
435 S Eagle Rd
Ste 100
Eagle, ID 83616
Phone (208) 609-9130
1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200
435 S Eagle Rd
Eagle, ID 83616
Phone (208) 939-8200
1474 N Meridian Rd
Kuna, ID 83634
Phone (208) 809-2885
1900 W Chinden Blvd
Meridian, ID 83646
Phone (208) 809-2860
3280 E Lanark Dr
Meridian, ID 83642
Phone (208) 377-4400
1375 N Happy Valley Rd
Nampa, ID 83687
Phone (208) 809-2869
Practitioners & affiliated clinicians
Practitioners 155
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Nampa, ID
- NPI 1740131028
-
- Physician Assistant
- Meridian, ID
- NPI 1063295152
-
- Dermatology Physician
- Garden City, ID
- NPI 1881633162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1487326203",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 W VICTORY RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837094237",
"telephone_number": "208-809-2888",
"fax_number": "208-809-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE MEDICAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-30",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boise, ID
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 enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.