Organization
HEALTH WEST, INC.
Active
Parent organization
HEALTH WEST, INC.
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
500 S. 11TH AVE, SUITE 400, POCATELLO, ID 83201
(208) 232-7862
(208) 232-7869
Mailing address
PO BOX 2377, POCATELLO, ID 83206-2377
(208) 232-7862
(208) 232-7869
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002444700
—
ID
05
—
807226400
—
ID
Enumeration date
12/10/2008
Last updated
08/17/2020
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