DIRNE HEALTH CENTERS INC NPI 1689068413

NPI Information

NPI: 1689068413
Provider Name: DIRNE HEALTH CENTERS, INC

Doing Business As: HERITAGE HEALTH HOMELESS PROGRAM

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
109 E HARRISON AVE
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 292-0281
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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 1689068413. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heritage Health Homeless Program.

The provider's business location address is:

109 E HARRISON AVE
COEUR D ALENE, ID
ZIP 83814-238
Phone: (208) 292-0281
Fax: (844) 807-3877

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 enumeration date for this NPI number is 3/18/2015 and was last updated on 8/24/2023.

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	101YP2500X	Counselor	Professional	No
4	104100000X	Social Worker		No
5	1041C0700X	Social Worker	Clinical	No
6	207Q00000X	Family Medicine		No
7	207R00000X	Internal Medicine		No
8	363A00000X	Physician Assistant		No
9	363L00000X	Nurse Practitioner		No
10	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

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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