| Health West, Inc. | |
|
79 N Main St Downey ID 83234 | |
| (208) 897-5600 | |
| (208) 897-5603 |
| Full Name | Health West, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 79 N Main St, Downey, 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, Inc. Po Box 2377 Pocatello ID 83206-2377 Ph: (208) 232-7862 | Health West, Inc. 79 N Main St Downey ID 83234 Ph: (208) 897-5600 |
| NPI Number | 1588666945 |
|---|---|
| Provider Enumeration Date | 08/15/2005 |
| Last Update Date | 08/17/2020 |
| Medicare PECOS PAC ID | 4981500931 |
|---|---|
| Medicare Enrollment ID | O20051208000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588666945 | NPI | - | NPPES |
| 85910 | Other | ID | BLUE CROSS OF IDAHO |
| 002446000 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M7806 (Idaho) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |