| Health West, Inc. | |
|
500 S. 11th Ave Suite 400 Pocatello ID 83201 | |
| (208) 232-7862 | |
| (208) 232-7869 |
| Full Name | Health West, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 500 S. 11th 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 |
|---|---|
| Health West, Inc. Po Box 2377 Pocatello ID 83206-2377 Ph: (208) 232-7862 | Health West, Inc. 500 S. 11th Ave Suite 400 Pocatello ID 83201 Ph: (208) 232-7862 |
| NPI Number | 1598900193 |
|---|---|
| Provider Enumeration Date | 12/10/2008 |
| Last Update Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598900193 | NPI | - | NPPES |
| 807226400 | Medicaid | ID | |
| 002444700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Idaho) | Primary |
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