HEALTH WEST, INC. (NPI# 1427057926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427057926 |
| Entity Type | Organization |
| Organization Name | HEALTH WEST, INC. |
| Other Organization Name | HEALTH WEST LAVA CLINIC |
| Practice Address |
85 S 5th W Lava Hot Springs ID 83246 |
| Mailing Address |
Po Box 2377 Pocatello ID 83206-2377 |
| Practice Telephone | 2087765202 |
| Practice Fax Number | 2087765614 |
| Mailing Telephone | 2082327862 |
| Mailing Fax Number | 2082327869 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | MINDY BENEDETTI (CEO) |
| Authorized Official Telephone | 2082327862 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH WEST, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | M7806 | ID | Allopathic & Osteopathic Physicians |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS CLINIC NUMBER | 88203 | 01 |
| ID | 002446100 | 05 |
| Other Name | Type Code |
|---|---|
| HEALTH WEST LAVA CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699383737 | Health West, Inc. | Counselor | 1455 Gwen Dr, Pocatello, ID 83204-4860 | 2020-07-15 |
| 1912515057 | Health West, Inc. | Counselor | 666 Cheyenne Ave, Pocatello, ID 83204-3756 | 2020-07-15 |
| 1013547801 | Health West, Inc. | Clinic/Center | 1001 N 7th Ave Ste 135, Pocatello, ID 83201-5761 | 2020-01-21 |
| 1861046039 | Health West, Inc. | Clinic/Center | 17400 N Hiline Rd, Pocatello, ID 83202-1669 | 2019-07-26 |
| 1033595541 | Health West, Inc. | Clinic/Center | 655 S 4th E, Ste 600, Preston, ID 83263-1604 | 2015-08-06 |
| 1588666945 | Health West, Inc. | Family Medicine | 79 N Main St, Downey, ID 83234 | 2005-08-15 |
| 1295734796 | Health West, Inc. | Family Medicine | 330 N Main, Aberdeen, ID 83210-0419 | 2005-07-18 |
| 1154320752 | Health West, Inc. | Family Medicine | 1000 N 8th Ave, Pocatello, ID 83201-5757 | 2005-07-18 |
| 1629077235 | Health West, Inc. | Family Medicine | 823 Reed St, American Falls, ID 83211-1336 | 2005-07-15 |
| 1942772223 | Health West, Inc. | Family Medicine | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2018-12-26 |
| Street Address |
85 S 5TH W |
| City | LAVA HOT SPRINGS |
| State | ID |
| Zip Code | 83246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366013 | Tina Guedes | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2019-10-02 |
| 1699767004 | Helene P Edmo | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437685799 | Road To Recovery, Inc. | Substance Abuse Rehabilitation Facility | 165 W. Main, Lava Hot Springs, ID 83246 | 2017-05-05 |
| 1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
| 1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
| 1851589139 | John C. Fleming | Social Worker | 165 West Main Street, Lava Hot Springs, ID 83246 | 2007-10-11 |
| 1356418412 | Pamela Goodliffe | Dentist | 585 West Booth, Lava Hot Springs, ID 83246-0458 | 2006-11-30 |
| 1437371812 | Robert Brent Hubbard | Radiology | 12888 Porcupine Pass, Lava Hot Springs, ID 83246-0834 | 2007-05-03 |
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547801 | Health West, Inc. | Clinic/Center | 1001 N 7th Ave Ste 135, Pocatello, ID 83201-5761 | 2020-01-21 |
| 1861046039 | Health West, Inc. | Clinic/Center | 17400 N Hiline Rd, Pocatello, ID 83202-1669 | 2019-07-26 |
| 1518519255 | Health West Inc. | Clinic/Center | 911 N Grant Ave, Pocatello, ID 83204-2847 | 2019-07-12 |
| 1043794001 | Community Health Clinics, Inc. | Clinic/Center | 506 Fletcher Dr, Nampa, ID 83686-8854 | 2018-09-17 |
| 1972082675 | Community Health Clinics, Inc. | Clinic/Center | 1670 N Linder Rd, Kuna, ID 83634-3032 | 2018-08-13 |
| 1841779667 | Community Health Clinics, Inc. | Clinic/Center | 610 N School Ave, Kuna, ID 83634-1807 | 2018-08-13 |
| 1225517055 | Community Health Clinics, Inc. | Clinic/Center | 4085 E Greenhurst Rd, Nampa, ID 83686-8657 | 2018-08-13 |
| 1982183687 | Community Health Clinics, Inc. | Clinic/Center | 301 S Happy Valley Rd, Nampa, ID 83687-8828 | 2018-08-13 |
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1912401381 | Community Health Clinic Inc. | Clinic/Center | 700 N Star Rd, Star, ID 83669-5417 | 2018-03-21 |
| Find all providers with the same taxonomy | ||||
| City | LAVA HOT SPRINGS |
| Zip Code | 83246 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.