Latino Stand Up

LBN: Latino Stand Up Idaho Llc
Latino Stand Up is an health care organization with primary practice located at 1680 Woodruff Park , Idaho Falls ID 83401-3330. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Latino Stand Up Idaho Llc can be contacted via phone (208) 552-6373, or through Horne, Roger via phone (910) 573-0861.

Contact Information

Primary practice address
1680 Woodruff Park Idaho Falls ID 83401-3330
Phone: (208) 552-6373
Fax: (208) 552-2188
Website:
Map and Directions
Authorized official contact:
Name: Horne, Roger
Phone: (910) 573-0861

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X

Profile Details

NPI number 1043556608
LBN Legal business name Latino Stand Up Idaho Llc
DBA Doing business as Latino Stand Up
Authorized official Horne, Roger
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2012
Last updated May 23rd, 2013 - about 11 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.

Request for update

Popular Providers