DIRNE HEALTH CENTERS INC. NPI 1255756730

NPI Information

NPI: 1255756730
Provider Name: DIRNE HEALTH CENTERS, INC.

Doing Business As: HERITAGE FAMILY SUPPORT SERVICES OF NORTH IDAHO

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1270 N NORTHWOOD CENTER CT
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 215-2126
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DIRNE HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Coeur D Alene, ID. DIRNE HEALTH CENTERS, INC. NPI is 1255756730. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heritage Family Support Services Of North Idaho.

The provider's business location address is:

1270 N NORTHWOOD CENTER CT
COEUR D ALENE, ID
ZIP 83814-664
Phone: (208) 215-2126

The provider's authorized official is Michael Baker .
The authorized official title is Ceo and has the following contact phone number (208) 620-5200.

The enumeration date for this NPI number is 2/20/2014 and was last updated on 11/14/2023.

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	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	No
3	101YS0200X	Counselor	School	No
4	104100000X	Social Worker		No
5	1041C0700X	Social Worker	Clinical	No
6	1041S0200X	Social Worker	School	No
7	106H00000X	Marriage & Family Therapist		No
8	175T00000X	Peer Specialist		No
9	207Q00000X	Family Medicine		No
10	207R00000X	Internal Medicine		No
11	363A00000X	Physician Assistant		No
12	363L00000X	Nurse Practitioner		No
13	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1378465	OTHER	IDAHO	MEDICARE PART B PTAN 1378465

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: 4/28/2024

NPI Synchronization or Removal

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