NPIMap

Organization Active NPI

Health West, Inc.

Doing business as Jefferson Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
National Provider Identifier
1699383737
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
Jefferson Elementary School
Practice address
1455 Gwen Dr
Pocatello, ID 83204-4860
Phone
(208) 232-7862
NPI assigned
Jul 15, 2020
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
School Counselor 101YS0200X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1455 Gwen Dr
Pocatello, ID 83204-4860

Mailing address

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

Other names 1

  • Jefferson Elementary 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
O20200916002705 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 1699383737. Details of each certification follow.

Federally qualified health center certification: CCN 131886

Legal name
HEALTH WEST INC
Doing business as
JEFFERSON ELEMENTARY SCHOOL
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 7, 2020
Last certification
Oct 7, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Oct 1, 1975 in ID
Enrollment address
1455 Gwen Dr
RM 31
Pocatello, ID 83204-4860

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 West Inc45 organizations share this tax ID, including this one
Part of
Health West Inc

Other organizations with this tax ID 44

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

View all 44

Locations

325 N Arthur Ave
Pocatello, ID 83204

Ownership & related parties

All disclosed owners & managing parties 19

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
Carol Gilbert Individual Corporate Officer Nov 30, 2023
Amy Wuest Individual Corporate Director Sep 14, 2022
Doug Mathis Individual Corporate Officer Jul 27, 2015
Bailey Hull Individual W-2 Managing Employee Jun 2, 2024
Iris Buder Individual Corporate DirectorBoard Member Nov 23, 2015
Mark T Horrocks Individual Corporate Officer Jul 15, 2020
Larry Burden Individual Corporate Officer Jun 26, 2017
Amber Campbell Individual W-2 Managing Employee Jul 15, 2020
Lyn N McArthur Individual Corporate Officer Jul 16, 2013
Charles Rizzo Individual Corporate Director Sep 20, 2022
Adam Waldron Individual Corporate DirectorBoard President Nov 5, 2011
Gloria Whiteside Individual Corporate Director Sep 22, 2014
Christopher Hartwell Individual Corporate Director Mar 31, 2025
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 OfficerCeo Sep 22, 2014
Amber Davis Individual Corporate Director 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 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 1

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": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1699383737",
    "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": "1455 GWEN DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044860",
            "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": "2020-07-15",
        "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": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Elementary School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.