Active NPI
Alliance Family Services North, Inc.
- Community/Behavioral Health Agency
- Coeur d'Alene, ID
National Provider Identifier
1942423355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALLIANCE FAMILY SERVICES NORTH, INC.
- Practice address
- 1200 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2660 - Phone
- (208) 664-9729
- NPI assigned
- Apr 11, 2007
- Last updated
- Feb 24, 2011
- 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
- Tracey Lange
- Title
- Director
- Phone
- (208) 265-5049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1200 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2660
Mailing address
608 S Division Ave
Sandpoint, ID 83864-1749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807345200 | Medicaid | ID |
National Provider Directory
National Provider Directory- Tax ID family
- Alliance Family Services North Inc
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Sandpoint, ID
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-
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-
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-
- Non-emergency Medical Transport (VAN)
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-
- Psychiatric/Mental Health Nurse Practitioner
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- NPI 1649539156
-
- Developmental Disabilities Clinic/Center
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-
- In Home Supportive Care Agency
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- NPI 1992025571
-
- Psychiatry Physician
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- NPI 1780847913
-
- Case Management Agency
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-
- Community/Behavioral Health Agency
- Kellogg, ID
- NPI 1447473863
-
- Community/Behavioral Health Agency
- Plummer, ID
- NPI 1043434400
-
- Community/Behavioral Health Agency
- Sandpoint, ID
- NPI 1053537548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298505600000",
"number": "1942423355",
"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": "1200 W IRONWOOD DR",
"address_2": "SUITE 101",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142660",
"telephone_number": "208-664-9729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE FAMILY SERVICES NORTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2011-02-24",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807345200",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur d'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.