Organization
HEALTH WEST, INC.
Active
Parent organization
HEALTH WEST, INC.
Other names
Health West Pediatrics and OB/GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH WEST, INC.
Authorized official
MINDY STOSICH-BENEDETTI (CEO)
(208) 232-7862
Entity
Organization
Contact information
Practice address
500 S 11TH AVE STE 204, POCATELLO, ID 83201-4878
(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
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
03/26/2020
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