Organization · Type 2 NPI

Alliance Medical Group, LLC

Family Medicine Physician · Caldwell, ID

NPI number 1073079463 Active

Practice location

512 N 21st Ave
Caldwell, ID 83605-4368

Call (208) 809-2875 Map

Fax (208) 809-2876

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Caldwell

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NPI record

NPI: 1073079463
Entity type: Organization (Type 2)
Issued: Feb 11, 2019
Last updated: Feb 17, 2025
Status: Active

Other names

<unavail>
Primary Health Medical Group · doing business as
Primary Health Medical Group · doing business as

Authorized official

Linda Barnes
Credentialing MGR
(208) 985-1423

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073079463

Alliance Medical Group, LLC's National Provider Identifier is 1073079463, issued on Feb 11, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Caldwell, ID. The record was last updated on Feb 17, 2025.