Health West, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Evanston, WY
NPI 1083487706 · NPPES record last updated Apr 21, 2025
Key facts
- NPI
- 1083487706
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HEALTH WEST, INC.
- Practice address
- 75 Yellow Creek Rd
Evanston, WY 82930-5235 - Phone
- (208) 232-7862
- NPI assigned
- Nov 3, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- HEALTH WEST, INC.
Authorized official
- Name
- Amelia Murphy
- Title
- Medical Staff Coordinator
- Phone
- (208) 232-7862
Corporate family (same tax ID) 44
National Provider Directory
- Tax ID family
- Health West Inc
- Part of
- Health West Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
75 Yellow Creek Rd
Evanston, WY 82930-5235
Mailing address
500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (120) 823-2786
Other names
- Health West Evanstons Dental
Other providers in Evanston, WY
- Terrick Harrild
- Robert Harris
- Jana Hartzell
- Lanaya Hatch
- Jacqueline Hayduk
- Health West, Inc.
- Health West, Inc.
- Cassie Heap
- Kira Heflebower
- Delynda Henderson
All providers in Evanston, WY · Federally Qualified Health Center (FQHC) in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.