Latah Health Services, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1 Issued in ID

Legal business name

LATAH HEALTH SERVICES, INC.

Doing business as

Latah Health Therapy Works

Practice address

510 W Palouse River Dr
Moscow, ID 83843-8901

Phone

(208) 882-7586

Fax

(208) 883-4473

NPI assigned

Aug 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Alisa J Weinmann

Title

Director of Finance

Phone

(208) 882-7586

Specialties & licenses 1

Addresses

Other names 1

• Latah Health Therapy Works Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093822074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W PALOUSE RIVER DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438901",
            "telephone_number": "208-882-7586",
            "fax_number": "208-883-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W PALOUSE RIVER DR",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438901",
            "telephone_number": "208-882-7586",
            "fax_number": "208-883-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATAH HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEINMANN",
        "authorized_official_first_name": "ALISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "208-882-7586",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ID",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latah Health Therapy Works",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Lynn Kwiatkowski, LCPC
• Marvin Renell Kym, MD
• Kathleen Allard Lafortune, P.T.
• Matthew Lassen, PA-C
• Latah Community Health Pharmacy (Latah Health Pharmacy)
• Latah Health Services, Inc. (Latah Health Services)
• Latah Recovery Community Center, Inc.
• Anthony Leon Latno
• Jill Lynn Lawrence, LMT
• Sara Martin Lawrence, MD

• Nursing Facility/Intermediate Care Facility in Moscow, ID
• Providers in Moscow, ID by specialty
• Nursing Facility/Intermediate Care Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.