DBA ACACIA WELLNESS CENTER – NPI #1669612271
Family Medicine

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.

DBA ACACIA WELLNESS CENTER is a provider located in NAMPA, ID. NPPES has assigned the NPI number 1669612271 to DBA ACACIA WELLNESS CENTER on February 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DBA ACACIA WELLNESS CENTER” is a dba name, the actual legal business name for this organization is 5 PEPPERS INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 10 years ago on Mar 09, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DBA ACACIA WELLNESS CENTER below.

NPI Profile for
5 PEPPERS INC.

NPI Number
1669612271
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
5 PEPPERS INC.
Doing Business As (dba): DBA ACACIA WELLNESS CENTER
Primary location
217 W GEORGIA AVE STE 120
NAMPA, ID 83686-6812
Phone: (208) 498-1760 Fax: (208) 498-1769
Mailing address
353 W IOWA AVE
NAMPA, ID 83686-2856
Phone: (208) 498-1760 Fax: (208) 498-1761
Organization Subpart
No
Authorized Official
DEO PEPPERSACK
OWNER
Phone: (208) 498-1760
Updated
Identifiers

Identifiers for DBA ACACIA WELLNESS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDID806976700
MEDICAIDID8083269
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LP0808X
- Nurse Practitioner / Psychiatric/Mental Health
ID NP656A
363LF0000X
- Nurse Practitioner / Family
ID 656A
1041C0700X
- Social Worker / Clinical
ID LMSW-27706

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.