HEALTH WEST, INC. (NPI# 1942772223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942772223 |
| Entity Type | Organization |
| Organization Name | HEALTH WEST, INC. |
| Other Organization Name | HEALTH WEST PEDIATRICS AND OB/GYN |
| Practice Address |
500 S 11th Ave Ste 204 Pocatello ID 83201-4878 |
| Mailing Address |
500 S 11th Ave Ste 400 Pocatello ID 83201-4880 |
| Practice Telephone | 2082327862 |
| Mailing Telephone | 2082327862 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2020-03-26 |
| Authorized Official Name | MINDY STOSICH-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 | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health West Pediatrics and OB/GYN | 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 |
| 1629077235 | Health West, Inc. | Family Medicine | 823 Reed St, American Falls, ID 83211-1336 | 2005-07-15 |
| Street Address |
500 S 11TH AVE STE 204 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447316799 | Gregory Daniel Kostur | Pediatrics | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2006-12-29 |
| 1902456262 | Ronda Edgley | Nurse Practitioner | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2019-09-18 |
| 1013282169 | Christine E Black | Obstetrics & Gynecology | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2012-03-21 |
| 1366750929 | Kendra J Westerhaus | Psychologist | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2010-09-16 |
| 1255520599 | Yvonne Perle Treece | Specialist | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
| 1346658515 | Health West, Inc. | Clinic/Center | 1000 N 8th Ave, Pocatello, ID 83201-5757 | 2014-07-31 |
| 1912261413 | Health West, Inc. | Clinic/Center | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2012-06-28 |
| 1598900193 | Health West, Inc. | Clinic/Center | 500 S. 11th Ave, Suite 400, Pocatello, ID 83201 | 2008-12-10 |
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| Find all providers with the same taxonomy | ||||
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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.