| Health West Isu | |
|
465 Memorial Dr Pocatello ID 83201-4008 | |
| (208) 234-4700 | |
| (208) 282-4696 |
| Full Name | Health West Isu |
|---|---|
| Speciality | Clinic/Center |
| Location | 465 Memorial Dr, Pocatello, Idaho |
| Authorized Official Name and Position | Amelia Murphy (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 2082327862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health West Isu Po Box 2377 Pocatello ID 83206-2377 Ph: (208) 232-7862 | Health West Isu 465 Memorial Dr Pocatello ID 83201-4008 Ph: (208) 234-4700 |
| NPI Number | 1912261413 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 4981500931 |
|---|---|
| Medicare Enrollment ID | O20120730000669 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912261413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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