Organization · Type 2 NPI

Health West, Inc.

Federally Qualified Health Center (FQHC) · Preston, ID

NPI number 1033595541 Active

Practice location

655 S 4th E, Ste 600
Preston, ID 83263-1604

Call (208) 852-3200 Map

Fax (208) 852-0517

Mailing address

PO Box 2377
Pocatello, ID 83206-2377

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1033595541
Entity type: Organization (Type 2)
Issued: Aug 6, 2015
Last updated: Aug 24, 2020
Status: Active
Subpart: Yes of Health West, Inc.

Other names

<unavail>
Health West Preston Clinic · doing business as
Health West Preston Clinic · doing business as

Authorized official

Mindy Benedetti
CEO
(208) 232-7862

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033595541

Health West, Inc.'s National Provider Identifier is 1033595541, issued on Aug 6, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Preston, ID. The record was last updated on Aug 24, 2020.