Active NPI
Alliance Medical Group, LLC
Doing business as Primary Health Medical Group
- 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
- Doing business as
- Primary Health Medical Group
- Practice address
- 7350 W Victory Rd
Boise, ID 83709-4237 - Phone
- (208) 809-2888
- Fax
- (208) 809-2889
- NPI assigned
- Sep 30, 2021
- 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 | 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.
-
dba Primary Health Medical Group
- 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
10787 W Ustick Rd
Boise, ID 83713
Phone (208) 378-8011
1209 S Broadway Ave
Boise, ID 83706
Phone (208) 345-1222
7350 W Victory Rd
Boise, ID 83709
Phone (208) 809-2888
8456 W Emerald Ste 156
Boise, ID 83704
Phone (208) 947-1947
1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200
1820 Caldwell Blvd
Nampa, ID 83651
Phone (208) 350-9331
Practitioners & affiliated clinicians
Practitioners 156
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 Medicine Physician
- Boise, ID
- NPI 1568789980
-
- Family Medicine Physician
- Meridian, ID
- NPI 1568490340
-
- Family Medicine Physician
- Meridian, ID
- NPI 1255383055
-
- Family Nurse Practitioner
- Nampa, ID
- NPI 1740131028
-
- Family Medicine Physician
- Boise, ID
- NPI 1033595905
-
- 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
- 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)
- 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 Physical Medicine
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.