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Alliance Family Services

Organization Active NPI Community/Behavioral Health Agency · Moscow, ID

NPI 1629398201 · NPPES record last updated Aug 28, 2012

Key facts

NPI
1629398201
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
ALLIANCE FAMILY SERVICES
Practice address
212 Rodeo Dr
Ste 410
Moscow, ID 83843-9798
Phone
(208) 882-5960
NPI assigned
Jun 7, 2010
Organization subpart
No

Authorized official

Name
Tracey Lange
Title
Director
Phone
(208) 265-5049

Corporate family (same tax ID) 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Alliance Family Services North Inc (28 organizations share this tax ID)

Locations

141 9th St
#1
Lewiston, ID 83501
Phone (208) 746-0669

212 N 1st Ave
Ste 103
Sandpoint, ID 83864
Phone (208) 265-8195

708 W Superior St
Ste B
Sandpoint, ID 83864
Phone (208) 255-1640

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

212 Rodeo Dr
Ste 410
Moscow, ID 83843-9798

Mailing address

608 S Division Ave
Sandpoint, ID 83864-1749
Phone (208) 265-5049

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2012.

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1629398201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641749",
            "telephone_number": "208-265-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RODEO DR",
            "address_2": "STE 410",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838439798",
            "telephone_number": "208-882-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-265-5049"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

All providers in Moscow, ID · Community/Behavioral Health Agency in Idaho

Sources for this page

Verify at the official NPI Registry.