Organization
HEALTH WEST, INC.
Active
Parent organization
HEALTH WEST, INC.
Other names
Health West Providence
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH WEST, INC.
Authorized official
AMELIA MURPHY (MEDICAL STAFF COORDINATOR)
(208) 232-7862
Entity
Organization
Contact information
Practice address
517 W 100 N STE 110, PROVIDENCE, UT 84332-9826
(435) 213-4225
Mailing address
500 S 11TH AVE STE 400, POCATELLO, ID 83201-4880
(208) 232-7862
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
04/04/2024
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