Dba Acacia Wellness Center
LBN: 5 Peppers Inc.
Dba Acacia Wellness Center is an health care organization with primary practice located at 217 W Georgia Ave Ste 120 , Nampa ID 83686-6812. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
5 Peppers Inc. can be contacted via phone (208) 498-1760, or through Peppersack, Deo Marie via phone (208) 498-1760.
Contact Information
Primary practice address
217 W Georgia Ave Ste 120
Nampa ID 83686-6812
Phone: (208) 498-1760
Fax: (208) 498-1769
Website:
Authorized official contact:
Name: Peppersack, Deo Marie Family Nurse Practitioner (FNP)
Phone: (208) 498-1760
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LMSW-27706 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 656A | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NP656A | Idaho |
Profile Details
| NPI number | 1669612271 |
|---|---|
| LBN Legal business name | 5 Peppers Inc. |
| DBA Doing business as | Dba Acacia Wellness Center |
| Authorized official | Peppersack, Deo Marie Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2009 |
| Last updated | Mar 9th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669612271 | NPPES |
| Idaho | MEDICAID | 8083269 | |
| Idaho | MEDICAID | 806976700 |
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