5 PEPPERS INC. NPI 1669612271

NPI Information

NPI: 1669612271
Provider Name: 5 PEPPERS INC.

Doing Business As: DBA ACACIA WELLNESS CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
217 W GEORGIA AVE STE 120
NAMPA, ID
ZIP 83686
Phone: (208) 498-1760
Get Directions

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 1669612271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Acacia Wellness Center.

The provider's business location address is:

217 W GEORGIA AVE STE 120
NAMPA, ID
ZIP 83686-812
Phone: (208) 498-1760
Fax: (208) 498-1769

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 enumeration date for this NPI number is 2/23/2009 and was last updated on 3/9/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP656A	IDAHO	No
2	1041C0700X	Social Worker	Clinical	LMSW-27706	IDAHO	No
3	363LF0000X	Nurse Practitioner	Family	656A	IDAHO	No
4	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8083269	MEDICAID	IDAHO
2	806976700	MEDICAID	IDAHO

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: 11/14/2023

NPI Synchronization or Removal

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