Organization
DIRNE HEALTH CENTERS INC
Active
Parent organization
DIRNE HEALTH CENTERS, INC
Other names
Heritage Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIRNE HEALTH CENTERS, INC
Authorized official
MICHAEL BAKER (CEO)
(208) 415-0299
Entity
Organization
Contact information
Practice address
1038 NORTHWEST BLVD, COEUR D ALENE, ID 83814-2249
(208) 620-5210
(844) 803-7399
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/23/2021
Last updated
09/12/2022
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