Provider Demographics
NPI:1609973577
Name:ACES INC.
Entity Type:Organization
Organization Name:ACES INC.
Other - Org Name:PIONEER HEATH RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-619-0190
Mailing Address - Street 1:5583 N GLENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:ID
Mailing Address - Zip Code:83714-1336
Mailing Address - Country:US
Mailing Address - Phone:208-287-2564
Mailing Address - Fax:208-287-2570
Practice Address - Street 1:890 N COLE RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-8638
Practice Address - Country:US
Practice Address - Phone:208-322-1026
Practice Address - Fax:208-322-1029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2013-02-07
Deactivation Date:2011-03-09
Deactivation Code:
Reactivation Date:2011-10-31
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807386100Medicaid
ID806388100Medicaid
ID807379000Medicaid
ID807405600Medicaid
ID806383200Medicaid
ID807378900Medicaid
ID807473200Medicaid
ID807405500Medicaid
ID907379100Medicaid
ID806431100Medicaid