| Health West American Falls Clinic | |
|
823 Reed St American Falls ID 83211-1336 | |
| (208) 226-2822 | |
| (208) 226-5797 |
| Full Name | Health West American Falls Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 823 Reed St, American Falls, Idaho |
| Authorized Official Name and Position | Mindy Benedetti (CEO) |
| Authorized Official Contact | 2082327862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health West American Falls Clinic Po Box 2377 Pocatello ID 83206-2377 Ph: (208) 232-7862 | Health West American Falls Clinic 823 Reed St American Falls ID 83211-1336 Ph: (208) 226-2822 |
| NPI Number | 1629077235 |
|---|---|
| Provider Enumeration Date | 07/15/2005 |
| Last Update Date | 08/24/2020 |
| Medicare PECOS PAC ID | 4981500931 |
|---|---|
| Medicare Enrollment ID | O20061205000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629077235 | NPI | - | NPPES |
| 85175 | Other | ID | BLUE CROSS OF ID |
| 002445900 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7806 (Idaho) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Doctors Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 590 Gifford Ave, American Falls, ID 83211 Phone: 208-226-5147 Fax: 208-226-7002 |