Summit Health Professionals
LBN: Summit Health Professionals
Summit Health Professionals is an health care organization with primary practice located at 3760 Washington Pkwy , Idaho Falls ID 83404-7593. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Summit Health Professionals can be contacted via phone (208) 524-4953, or through Andersen, Nikola via phone (208) 524-4953.
Contact Information
Primary practice address
3760 Washington Pkwy
Idaho Falls ID 83404-7593
Phone: (208) 524-4953
Fax: (208) 524-7335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LCPC-323 | Idaho |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LCSW-1311 | Idaho |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M8621 | Idaho |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1649262825 |
|---|---|
| LBN Legal business name | Summit Health Professionals |
| DBA Doing business as | |
| Authorized official | Andersen, Nikola |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Nov 3rd, 2008 - about 16 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 | 1649262825 | NPPES |
| Idaho | MEDICAID | 806797700 |
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