Healthcare Provider Details

I. General information

NPI: 1154320752
Provider Name (Legal Business Name): HEALTH WEST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N 8TH AVE
POCATELLO ID
83201-5757
US

IV. Provider business mailing address

PO BOX 2377
POCATELLO ID
83206-2377
US

V. Phone/Fax

Practice location:
  • Phone: 208-232-6260
  • Fax: 208-232-6259
Mailing address:
  • Phone: 208-232-7862
  • Fax: 208-232-7869

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberM7806
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMELIA MURPHY
Title or Position: MEDICAL STAFF COORDINATOR
Credential:
Phone: 208-232-7862