Organization
DIRNE HEALTH CENTERS, INC.
Active
Parent organization
DIRNE HEALTH CENTERS INC
Other names
Heritage Health Main
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIRNE HEALTH CENTERS INC
Authorized official
MICHAEL BAKER (CEO)
(208) 620-5200
Entity
Organization
Contact information
Practice address
1090 W PARK PLACE, COEUR D ALENE, ID 83814-2480
(208) 215-2005
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 620-5200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TH0004X
Health Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/16/2006
Last updated
06/18/2025
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