| Health West, Inc. | |
|
75 Yellow Creek Rd Ste 102 Evanston WY 82930-5205 | |
| (307) 789-8290 | |
| Not Available |
| Full Name | Health West, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 75 Yellow Creek Rd Ste 102, Evanston, Wyoming |
| 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, Inc. 500 S 11th Ave Ste 400 Pocatello ID 83201-4880 Ph: (208) 232-7862 | Health West, Inc. 75 Yellow Creek Rd Ste 102 Evanston WY 82930-5205 Ph: (307) 789-8290 |
| NPI Number | 1619683547 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 4981500931 |
|---|---|
| Medicare Enrollment ID | O20240308003323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619683547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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