DIRNE HEALTH CENTERS INC NPI 1720564271

NPI Information

NPI: 1720564271
Provider Name: DIRNE HEALTH CENTERS INC

Doing Business As: HERITAGE HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1090 W PARK PL STE B
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 292-0697
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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 1720564271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Heritage Health.

The provider's business location address is:

1090 W PARK PL STE B
COEUR D ALENE, ID
ZIP 83814-785
Phone: (208) 292-0697
Fax: (208) 292-0357

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 7/18/2018 and was last updated on 5/5/2022.

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	106H00000X	Marriage & Family Therapist		No
2	122300000X	Dentist		No
3	1223G0001X	Dentist	General Practice	No
4	133V00000X	Dietitian, Registered		No
5	175T00000X	Peer Specialist		No
6	183500000X	Pharmacist		No
7	101Y00000X	Counselor		No
8	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
9	101YM0800X	Counselor	Mental Health	No
10	101YP2500X	Counselor	Professional	No
11	104100000X	Social Worker		No
12	1041C0700X	Social Worker	Clinical	No
13	1041S0200X	Social Worker	School	No
14	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
15	207Q00000X	Family Medicine		No

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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