| NPI | 1942772223 |
|---|---|
| Doing Business As | HEALTH WEST PEDIATRICS AND OB/GYN |
| Entity Type | Organization |
| Authorized Contact | MINDY STOSICH-BENEDETTI CEO 208-232-7862 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2020-03-26 |