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5 PEPPERS INC NPI 1437504909


NPI Information

NPI: 1437504909
Provider Name: 5 PEPPERS INC

Doing Business As: ACACIA WELLNESS CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 13D2058336

Address:
217 W. GEORGIA AVE. STE 120
NAMPA, ID
ZIP 83686
Phone: (208) 498-1760
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5 PEPPERS INC is a family medicine in Nampa, ID. The provider is 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. 5 PEPPERS INC NPI is 1437504909. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Acacia Wellness Center.

The provider's business location address is:

217 W. GEORGIA AVE. STE 120
NAMPA, ID
ZIP 83686
Phone: (208) 498-1760

The provider's authorized official is Deo Marie Peppersack .
The authorized official title is Owner and has the following contact phone number (208) 498-1760.

The CLIA number assigned to this NPI record is 13D2058336 - other - np office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 5/3/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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