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Contact Information

HEALTH WEST, INC.
85 S 5TH W
LAVA HOT SPRINGS, ID83246
 Phone: 208-776-5202
 Fax: 208-776-5614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HEALTH WEST, INC.

NPI Number 1427057926
LBN Legal business name HEALTH WEST, INC.
Authorized official MINDY BENEDETTI - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/18/2005
Last updated 08/17/2020 - About 6 years ago
Identifiers
ID License # M7806
ID Medicaid 002446100
ID Other 88203 BLUE CROSS CLINIC NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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