Organization
HEALTH WEST, INC.
Active
Parent organization
HEALTH WEST, INC.
Other names
Health West Community Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH WEST, INC.
Authorized official
MINDY BENEDETTI (CEO)
(208) 232-7862
Entity
Organization
Contact information
Practice address
1000 N 8TH AVE, POCATELLO, ID 83201-5757
(208) 232-3369
(208) 776-5016
Mailing address
PO BOX 2377, POCATELLO, ID 83206-2377
(208) 232-7862
(208) 232-7869
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
12/13/2023
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