NPI age
7 years
Enumerated 2019-03-05
● Active Type 2 · Organization
Root Cause Integrative Medicine Llc
Root Cause Integrative Medicine Llc is 1 of 1691 family medicine organizations in Idaho.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hale
Co-Owner/ Physician Assistant
Last NPPES update
2019-04-10
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
7 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1547 S Midway Ave, Suite B
Ammon, ID 83406
Mailing address
1547 S Midway Ave, Suite B
Ammon, ID 83406
Authorized official
Jordan Neil Hale, PA-C
Co-Owner/ Physician Assistant
📞 6509336384
Specialties
-
Family Medicine PrimaryFamily 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1396110169 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.