NPIMap

Organization Active NPI

Health West, Inc.

Doing business as Health West City Center

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
National Provider Identifier
1013547801
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH WEST, INC.
Doing business as
Health West City Center
Practice address
1001 N 7TH Ave Ste 135
Pocatello, ID 83201-5761
Phone
(208) 232-7862
NPI assigned
Jan 21, 2020
Last updated
Jan 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amelia Murphy
Title
Medical Staff Coordinator
Phone
(208) 232-7862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1001 N 7TH Ave Ste 135
Pocatello, ID 83201-5761

Mailing address

500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862

Other names 1

  • Health West City Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031210000461 ID Part B Supplier - Clinic/Group Practice 4981500931 Receives reassigned benefits from 67 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Aberdeen, ID; Preston, ID; Pocatello, ID; Montpelier, ID; Lava Hot Springs, ID; Downey, ID; Chubbuck, ID; American Falls, ID
O20200520003423 ID Part A Provider - Federally Qualified Health Center (FQHC) 4981500931 Practice locations: Pocatello, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013547801. Details of each certification follow.

Federally qualified health center certification: CCN 131884

Legal name
HEALTH WEST INC
Doing business as
HEALTH WEST CITY CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 12, 2020
Last certification
May 12, 2020
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1975 in ID
Enrollment address
1001 N 7TH Ave
Ste 135
Pocatello, ID 83201-5790

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2189586Health West City Center1001 North 7TH Ave Ste 135, Pocatello, ID 83201Provider-performed microscopyJan 2, 2028

National Provider Directory

National Provider Directory

Locations

823 Reed St
American Falls, ID 83211
Phone (208) 226-2822

666 Cheyenne Ave
Pocatello, ID 83204

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lori Seaton Individual W-2 Managing Employee Oct 16, 2009
Melissa Myers Individual Corporate OfficerCfo Sep 23, 2025
Carol Gilbert Individual Corporate OfficerDicrector of Contracting and Creden Nov 30, 2023
Amy Wuest Individual Corporate DirectorBoard Vice President Sep 14, 2022
Doug Mathis Individual Corporate DirectorBoard Member Jul 27, 2015
Bailey Hull Individual W-2 Managing Employee Jul 15, 2024
Iris Buder Individual Corporate DirectorBoard Secretary Nov 23, 2015
Mark T Horrocks Individual Corporate OfficerCmo Oct 31, 2022
Larry Burden Individual Corporate DirectorBoard Member Jun 26, 2017
Jeremy Smuin Individual W-2 Managing Employee Dec 27, 2011
Health West Inc Organization, Pocatello, ID Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 1975 100%
Amber Campbell Individual W-2 Managing Employee Aug 16, 2010
Lyn N McArthur Individual Corporate DirectorDirector of BH Jul 16, 2013
Charles Rizzo Individual Corporate DirectorBoard Member Sep 20, 2022
Amy Tovey Individual Corporate OfficerCoo Jul 27, 2015
Adam Waldron Individual Corporate DirectorBoard President Nov 5, 2011
Gloria Whiteside Individual Corporate DirectorBoardd Member Sep 22, 2014
Christopher Hartwell Individual Corporate DirectorBoard Member Mar 31, 2025
Francee Reyes Individual W-2 Managing Employee Mar 6, 2023
Amelia Murphy Individual Corporate OfficerMedical Staff Coordinator Aug 19, 2019
Daniel Davids Individual Corporate DirectorBoard Member Jun 26, 2017
Mindy Stosich-Benedetti Individual Corporate OfficerCeo May 15, 2006
Amber Davis Individual Corporate DirectorBoard Member Jul 31, 2017

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indian Hills ElementaryPocatello, ID, CCN 131887 Federally qualified health center Operational/Managerial Control Apr 11, 2026

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1013547801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 7TH AVE STE 135",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015761",
            "telephone_number": "208-232-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "208-232-7862"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health West City Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.