Healthwest | |
1000 N 8th Ave Pocatello ID 83201-5757 | |
(208) 232-6260 | |
Not Available |
Full Name | Healthwest |
---|---|
Speciality | Psychologist - Clinical |
Location | 1000 N 8th Ave, Pocatello, Idaho |
Authorized Official Name and Position | Amelia Murphy (MEDICAL STAFF COORDINATOR) |
Authorized Official Contact | 2082327862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healthwest 1000 N 8th Ave Pocatello ID 83201-5757 Ph: (208) 232-6260 | Healthwest 1000 N 8th Ave Pocatello ID 83201-5757 Ph: (208) 232-6260 |
NPI Number | 1154783538 |
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Provider Enumeration Date | 03/24/2016 |
Last Update Date | 08/17/2020 |
Certification Date | 08/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154783538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | SE-202913 (Idaho) | Primary |
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