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Organization

DIRNE HEALTH CENTERS INC

Active
Parent organization
DIRNE HEALTH CENTERS INC
Other names
Heritage Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIRNE HEALTH CENTERS INC
Authorized official
MIKE BAKER (CEO)
(208) 620-5210
Entity
Organization

Contact information

Practice address
3700 W SELTICE WAY STE B, COEUR D ALENE, ID 83814-8921
(208) 620-5250
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(204) 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
175T00000X
Peer Specialist
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RA0401X
Addiction Medicine (Internal Medicine) Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
01/15/2013
Last updated
06/18/2025
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