Clinic/Center, Mental Health (Including Community Mental Health Center)
LATINO STAND UP IDAHO LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043556608 · enumerated 2012-12-28 · record updated 2013-05-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. ROGER HORNE, owner · (910) 573-0861
Other names: LATINO STAND UP
Addresses and phones
- Mailing address 1680 WOODRUFF PARK, IDAHO FALLS, ID, 83401-3330 (208) 552-6373 Fax (208) 552-2188 Google Maps Apple Maps OpenStreetMap
- Practice location 1680 WOODRUFF PARK, IDAHO FALLS, ID, 83401-3330 (208) 552-6373 Fax (208) 552-2188 Google Maps Apple Maps OpenStreetMap
Specialties
- Clinic/Center, Adult Mental Health 261QM0850X
- Community/Behavioral Health 251S00000X
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X
- Physician Assistant, Medical 363AM0700X
- Clinical Nurse Specialist 364S00000X
- Clinic/Center, Rehabilitation, Substance Use Disorder 261QR0405X
- Case Management 251B00000X
- Clinic/Center, Mental Health (Including Community Mental Health Center) 261QM0801X · Primary
In this directory
ID Bonneville County Idaho Falls Clinic/Center, Mental Health (Including Community Mental Health Center)
Locations and evidence
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Practice location
IDAHO FALLS, ID, 834013330
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.