Healthcare Provider Details

I. General information

NPI: 1740383884
Provider Name (Legal Business Name): HEALTH WEST, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 W LOGAN HWY
GARDEN CITY UT
84028
US

IV. Provider business mailing address

500 S 11TH AVE STE 400
POCATELLO ID
83201-4880
US

V. Phone/Fax

Practice location:
  • Phone: 435-946-3660
  • Fax: 435-946-2781
Mailing address:
  • Phone: 82-327-8622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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