DIRNE HEALTH CENTERS INC NPI 1568910156

NPI Information

NPI: 1568910156
Provider Name: DIRNE HEALTH CENTERS INC
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Doing Business As: HERITAGE HEALTH ST. MARIES
CLIA Number: 13D2276425
Address: 120 S 13TH ST
ST MARIES, ID
ZIP 83861
Phone: (208) 245-4363

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NPI Details

DIRNE HEALTH CENTERS INC is a federally qualified health center (fqhc) clinic center in St Maries, ID. DIRNE HEALTH CENTERS INC NPI is 1568910156. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heritage Health St. Maries.

The provider's business location address is:

120 S 13TH ST
ST MARIES, ID
ZIP 83861-627
Phone: (208) 245-4363
Fax: (208) 245-4349

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

The CLIA number assigned to this NPI record is 13D2276425 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2016 and was last updated on 12/30/2024.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	104100000X	Social Worker		No
5	1041C0700X	Social Worker	Clinical	No
6	106H00000X	Marriage & Family Therapist		No
7	261QF0400X	Clinic/Center	Federally 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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