Organization
HEALTH WEST, INC.
Active
Other names
Shoshone Bannock Jr/Sr High
Organization subpart
No
Provider details
NPI number
Authorized official
AMELIA MURPHY (MEDICAL STAFF COORDINATOR)
(208) 232-7862
Entity
Organization
Contact information
Practice address
17400 N HILINE RD, POCATELLO, ID 83202-1669
(208) 232-7862
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
07/26/2019
Last updated
07/26/2019
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