NPIMap

Organization Active NPI

Health West, Inc.

Doing business as Pocatello High School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
National Provider Identifier
1124794060
Registry record updated Mar 26, 2026
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
Pocatello High School
Practice address
325 N Arthur Ave
Pocatello, ID 83204-3101
Phone
(208) 232-7862
NPI assigned
Aug 20, 2021
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH WEST, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
School Counselor 101YS0200X NU

Addresses

Primary practice location

325 N Arthur Ave
Pocatello, ID 83204-3101

Mailing address

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

Other names 1

  • Pocatello High School 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
O20220526001133 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 1124794060. Details of each certification follow.

Federally qualified health center certification: CCN 131891

Legal name
HEALTH WEST INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 26, 2022
Last certification
May 26, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1975 in ID
Enrollment address
325 N Arthur Ave
Pocatello, ID 83204-3101

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Health West45 organizations share this tax ID, including this one
Part of
Health West

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

500 S 11th Ave
Ste 400
Pocatello, ID 83201

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Shantay Bloxham Individual Corporate Officer Dec 17, 2019
Paul Morgan Individual Corporate Director Jul 10, 2017
Lyn N McArthur Individual W-2 Managing Employee Jul 16, 2013
Adam Waldron Individual Corporate Officer Nov 5, 2011
Amelia Murphy Individual Corporate Officer Aug 19, 2019
Mindy Stosich-Benedetti Individual Corporate Director May 15, 2006

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Health West City CenterPocatello, ID, CCN 131884 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1975
Indian Hills ElementaryPocatello, ID, CCN 131887 Federally qualified health center Operational/Managerial Control Apr 11, 2026

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1124794060",
    "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": "325 N ARTHUR AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043101",
            "telephone_number": "208-232-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WEST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH WEST, INC.",
        "enumeration_date": "2021-08-20",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocatello High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.