NPI | 1912261413 |
---|---|
Doing Business As | HEALTH WEST ISU |
Entity Type | Organization |
Authorized Contact | AMELIA MURPHY Medical Staff COO Rdinator 208-232-7862 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-06-28 |
Last Update Date | 2023-04-05 |