HEALTH WEST, INC. (NPI# 1629077235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629077235 |
Entity Type | Organization |
Organization Name | HEALTH WEST, INC. |
Other Organization Name | HEALTH WEST AMERICAN FALLS CLINIC |
Practice Address |
823 Reed St American Falls ID 83211-1336 |
Mailing Address |
Po Box 2377 Pocatello ID 83206-2377 |
Practice Telephone | 2082262822 |
Practice Fax Number | 2082265797 |
Mailing Telephone | 2082327862 |
Mailing Fax Number | 2082327869 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2020-08-24 |
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 OF ID | 85175 | 01 |
ID | 002445900 | 05 |
Other Name | Type Code |
---|---|
HEALTH WEST AMERICAN FALLS 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 |
1427057926 | Health West, Inc. | Family Medicine | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-07-18 |
1154320752 | Health West, Inc. | Family Medicine | 1000 N 8th Ave, Pocatello, ID 83201-5757 | 2005-07-18 |
1942772223 | Health West, Inc. | Family Medicine | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2018-12-26 |
Street Address |
823 REED ST |
City | AMERICAN FALLS |
State | ID |
Zip Code | 83211-1336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023626348 | Adam Hunsaker | Nurse Practitioner | 823 Reed St, American Falls, ID 83211-1336 | 2020-07-22 |
1841299302 | Luis M Fernandez | Family Medicine | 823 Reed St, American Falls, ID 83211-1336 | 2005-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811051683 | Northwest Therapy Services, Inc. | Durable Medical Equipment & Medical Supplies | 3129 Willow Street, American Falls, ID 83211 | 2006-12-19 |
1811477821 | Hershell E Cummings | Physician Assistant | 502 Tyhee Ave, American Falls, ID 83211 | 2018-08-19 |
1487172003 | Compassionate Care Family Services | Counselor | 420 Hillcrest Ave, American Falls, ID 83211 | 2017-09-04 |
1760590772 | Marvin Kay Hatt | Chiropractor | 2842a Pocatello Ave, Suite 104, American Falls, ID 83211-0308 | 2006-08-29 |
1598784217 | Rod Thad Tucker | Pharmacist | 524 Tyhee Ave, American Falls, ID 83211-1224 | 2006-07-19 |
1598763849 | Power County Hospital District | Public Health or Welfare | 502 Tyhee Ave, American Falls, ID 83211-1224 | 2005-07-11 |
1699325415 | Rockland Pharmacy, Inc | Pharmacy | 524 Tyhee Ave, American Falls, ID 83211-1224 | 2019-09-13 |
1255819942 | Trena Phillips | Nurse Practitioner | 502 Tyhee Ave, American Falls, ID 83211-1224 | 2018-08-03 |
1689027179 | Philip Anderson | Pharmacist | 524 Tyhee Ave, American Falls, ID 83211-1224 | 2016-07-19 |
1114214731 | Spencer Garrett Seibold | Family Medicine | 502 Tyhee Ave, American Falls, ID 83211-1224 | 2011-07-03 |
Find all providers in zip 83211 |
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 | AMERICAN FALLS |
Zip Code | 83211 |
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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.