NPIMap

Organization Active NPI

Health West, Inc.

Doing business as Health West North Logan

  • Federally Qualified Health Center (FQHC)
  • North Logan, UT
National Provider Identifier
1457067381
Registry record updated Jul 22, 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
Health West North Logan
Practice address
1515 N 400 E Ste 104
North Logan, UT 84341-7595
Phone
(435) 755-6061
NPI assigned
Jan 24, 2023
Last updated
Jul 22, 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 Jul 22, 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 Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1515 N 400 E Ste 104
North Logan, UT 84341-7595

Mailing address

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

Other names 1

  • Health West North Logan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240814004495 UT Part A Provider - Federally Qualified Health Center (FQHC) 4981500931 Practice locations: North Logan, UT
O20241015003171 UT Part B Supplier - Clinic/Group Practice 4981500931 Receives reassigned benefits from 16 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brigham City, UT; Garden City, UT; North Logan, UT; Providence, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457067381. Details of each certification follow.

Federally qualified health center certification: CCN 461004

Legal name
HEALTH WEST INC
Doing business as
HEALTH WEST NORTH LOGAN
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 6, 2024
Last certification
Aug 6, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1975 in ID
Enrollment address
1515 N 400 E
Ste 104
North Logan, UT 84341-7595

Other NPIs on the same Medicare enrollment 3

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

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

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Carol Gilbert Individual Corporate Officer Nov 30, 2023
Amy Wuest Individual Corporate Director Sep 14, 2022
Doug Mathis Individual Corporate Director Jul 27, 2015
Iris Buder Individual Corporate Director Nov 23, 2015
Mark T Horrocks Individual Corporate Officer Oct 30, 2002
Larry Burden Individual Corporate Director Aug 24, 2021
Paul Morgan Individual Corporate Officer Jul 10, 2017
Charles Rizzo Individual Corporate Director Sep 20, 2022
Amy Tovey Individual Corporate Officer Jul 27, 2015
Adam Waldron Individual Corporate Director Nov 5, 2011
Gloria Whiteside Individual Corporate Director Sep 22, 2014
Francee Reyes Individual W-2 Managing Employee Mar 6, 2023
Amelia Murphy Individual Corporate Officer Aug 19, 2019
Daniel Davids Individual Corporate Director Jun 26, 2017
Mindy Stosich-Benedetti Individual Corporate Officer May 15, 2006
Amber Davis Individual Corporate Director Jul 31, 2017

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 8

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": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1457067381",
    "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": "1515 N 400 E STE 104",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843417595",
            "telephone_number": "435-755-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH WEST, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH WEST, INC.",
        "enumeration_date": "2023-01-24",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "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
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health West North Logan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Logan, UT

Sources for this page

Verify at the official NPI Registry.