MEDICARE: HEALTH WEST, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1083886865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH WEST, INC.

Provider Business Mailing Address
First Line	:	500 S 11TH AVE STE 400
Second Line	:
City	:	POCATELLO
State	:	ID
Zip	:	83201-4880
Country	:	US
Telephone Number	:	208-232-7862
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 N 400 E
Second Line	:	SUITE 104
City	:	NORTH LOGAN
State	:	UT
Zip	:	84341-7561
Country	:	US
Telephone Number	:	435-755-8424
Fax Number	:	435-755-8436

Authorized Official
Title or Position	:	MEDICAL STAFF COORDINATOR
Name	:	AMELIA MURPHY
Credential	:
Telephone Number	:	208-232-7862

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	11/28/2023

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Directions to “HEALTH WEST, INC. ” Practice Location

Language	Start Address	Practice Location

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