Organization Active NPI

Allcorp LLC

Doing business as Alliance Health

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1568093136
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALLCORP LLC
Doing business as
Alliance Health
Practice address
1948 S Eagle Rd
Meridian, ID 83642-2452
Phone
(208) 322-7900
Fax
(208) 322-6405
NPI assigned
Jan 31, 2020
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Mrs. Bethany M Vance
Title
Cfo/Member
Phone
(208) 322-7900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1948 S Eagle Rd
Meridian, ID 83642-2452

Mailing address

1948 S Eagle Rd
Meridian, ID 83642-2452
Phone (208) 322-7900

Other names 1

  • Alliance Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1568093136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422452",
            "telephone_number": "208-322-7900",
            "fax_number": "208-322-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 S EAGLE RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422452",
            "telephone_number": "208-322-7900",
            "fax_number": "208-322-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCORP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO/MEMBER",
        "authorized_official_telephone_number": "208-322-7900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.