| Health West Chubbuck Clinic | |
|
880 W Quinn Rd Chubbuck ID 83202-2454 | |
| (208) 238-2000 | |
| (208) 238-8888 |
| Full Name | Health West Chubbuck Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 880 W Quinn Rd, Chubbuck, 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 Chubbuck Clinic Po Box 2377 Pocatello ID 83206-2377 Ph: (208) 232-7862 | Health West Chubbuck Clinic 880 W Quinn Rd Chubbuck ID 83202-2454 Ph: (208) 238-2000 |
| NPI Number | 1629499751 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 03/02/2017 |
| Medicare PECOS PAC ID | 4981500931 |
|---|---|
| Medicare Enrollment ID | O20140218001263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629499751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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