<Unavail>

LBN: Jjst Enterprises Corp
<Unavail> is an health care organization with primary practice located at 1920 E 17Th St Ste 213 , Idaho Falls ID 83404-8036. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jjst Enterprises Corp can be contacted via phone (208) 356-0088, or through Andersen, Scott Kay via phone (208) 356-0088.

Contact Information

Primary practice address
1920 E 17Th St Ste 213 Idaho Falls ID 83404-8036
Fax:
Website:
Authorized official contact:
Name: Andersen, Scott Kay MCOUN LCPC

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X LCPC 2823 Idaho

Profile Details

NPI number 1275065807
LBN Legal business name Jjst Enterprises Corp
DBA Doing business as <Unavail>
Authorized official Andersen, Scott Kay MCOUN LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2017
Last updated Apr 2nd, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275065807 NPPES
Idaho MEDICAID 1164723334

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