# ALLIANCE MEDICAL GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Health Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457868002
- **Authorized official:** LINDA BARNES (CREDENTIALING MGR)
- **Authorized official phone:** (208) 985-1423

## Contact information

- **Practice address:** 1375 N HAPPY VALLEY RD, NAMPA, ID 83687-5280
- **Practice address phone:** (208) 809-2869
- **Practice address fax:** (208) 809-2870
- **Mailing address:** 10482 W CARLTON BAY DR, GARDEN CITY, ID 83714-5143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | ID | Yes |

## Other

- **Enumeration date:** 01/04/2018
- **Last updated:** 02/17/2025