Health West, Inc. | |
152 S 4th St Montpelier ID 83254-1538 | |
(208) 847-2108 | |
Not Available |
Full Name | Health West, Inc. |
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Speciality | Clinic/Center |
Location | 152 S 4th St, Montpelier, 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 |
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Health West, Inc. 500 S 11th Ave Ste 400 Pocatello ID 83201-4880 Ph: (208) 232-7862 | Health West, Inc. 152 S 4th St Montpelier ID 83254-1538 Ph: (208) 847-2108 |
NPI Number | 1912613845 |
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Provider Enumeration Date | 01/24/2023 |
Last Update Date | 01/24/2023 |
Medicare PECOS PAC ID | 4981500931 |
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Medicare Enrollment ID | O20240318003191 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912613845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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