DIRNE HEALTH CENTERS INC NPI 1174860894

NPI Information

  • NPI: 1174860894
  • Provider Name: DIRNE HEALTH CENTERS INC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: HERITAGE BEHAVIORAL HEALTH
  • Address: 2025 W PARK PL
    SUITE B
    COEUR D ALENE, ID
    ZIP 83814
  • Phone: (208) 292-0292

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NPI Details

DIRNE HEALTH CENTERS INC is a federally qualified health center (fqhc) clinic center in Coeur D Alene, ID. DIRNE HEALTH CENTERS INC NPI is 1174860894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heritage Behavioral Health.

The provider's business location address is:

2025 W PARK PL
SUITE B
COEUR D ALENE, ID
ZIP 83814-787
Phone: (208) 292-0292

The provider's authorized official is Mike Baker .
The authorized official title is Ceo and has the following contact phone number (208) 620-5210.

The enumeration date for this NPI number is 1/15/2013 and was last updated on 3/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YS0200XCounselorSchoolNo
4104100000XSocial WorkerNo
51041C0700XSocial WorkerClinicalNo
6363A00000XPhysician AssistantNo
7175T00000XPeer SpecialistNo
8207Q00000XFamily MedicineNo
9207R00000XInternal MedicineNo
10207RA0401XInternal MedicineAddiction MedicineNo
11363AM0700XPhysician AssistantMedicalNo
12363L00000XNurse PractitionerNo
13363LF0000XNurse PractitionerFamilyNo
14261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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