Organization Active NPI

Alliance Family Services North, Inc

  • Case Management Agency
  • Sandpoint, ID
National Provider Identifier
1710150198
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ALLIANCE FAMILY SERVICES NORTH, INC
Practice address
608 S Division Ave
Sandpoint, ID 83864-1749
Phone
(208) 265-5049
NPI assigned
Apr 8, 2008
Last updated
Apr 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

608 S Division Ave
Sandpoint, ID 83864-1749

Mailing address

608 S Division Ave
Sandpoint, ID 83864-1749

Other identifiers 2

IdentifierTypeStateIssuer
808636100MedicaidID
807294000MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Alliance Family Services North Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1710150198",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641749",
            "telephone_number": "208-265-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE FAMILY SERVICES NORTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2010-04-09",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808636100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807294000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.