Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremiah Dale West I, CHW0000000623

Individual provider Community Health Worker · NPI 1568261501

Mr. Jeremiah Dale West I, CHW0000000623 is a Community Health Worker in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

1940 E Thunderbird Rd Ste 206
Phoenix, AZ 85022-5761
Phone: (480) 408-2694
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence CHW0000000623 (AZ)

Record details

NPI number1568261501
Entity typeIndividual (Type 1)
GenderMale
Credentials CHW0000000623
Sole proprietorYes
NPI enumeratedMarch 12, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

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