HEALTH WEST INC. NPI 1912261413

NPI Information

NPI: 1912261413
Provider Name: HEALTH WEST, INC.

Doing Business As: HEALTH WEST FAMILY MEDICINE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
465 MEMORIAL DR
POCATELLO, ID
ZIP 83201
Phone: (208) 234-4700
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HEALTH WEST, INC. is a federally qualified health center (fqhc) clinic center in Pocatello, ID. HEALTH WEST, INC. NPI is 1912261413. The provider is registered as an organization entity type.
The provider Is Doing Business As Health West Family Medicine Clinic.

The provider's business location address is:

465 MEMORIAL DR
POCATELLO, ID
ZIP 83201-008
Phone: (208) 234-4700
Fax: (208) 282-4696

The provider's authorized official is Mindy Benedetti .
The authorized official title is Ceo and has the following contact phone number (208) 232-7862.

The CLIA number assigned to this NPI record is 13D2189589 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/28/2012 and was last updated on 3/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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