Latino Stand Up

LBN: Latino Stand Up
Latino Stand Up is an health care organization with primary practice located at 1420 E 17Th St Ste E , Idaho Falls ID 83404-6283. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Latino Stand Up can be contacted via phone (208) 528-5434, or through Horne, Roger T via phone (910) 573-0861.

Contact Information

Primary practice address
1420 E 17Th St Ste E Idaho Falls ID 83404-6283
Phone: (208) 528-5434
Fax: (208) 522-4364
Website:
Map and Directions
Authorized official contact:
Name: Horne, Roger T
Phone: (910) 573-0861

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1164781365
LBN Legal business name Latino Stand Up
DBA Doing business as
Authorized official Horne, Roger T
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2012
Last updated Mar 31st, 2013 - about 13 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