| NPI | 1629499751 |
|---|---|
| Doing Business As | HEALTH WEST CHUBBUCK CLINIC |
| Entity Type | Organization |
| Authorized Contact | MINDY BENEDETTI CEO 208-232-7862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2017-03-02 |