Organization
DIRNE HEALTH CENTERS INC
Active
Other names
Heritage Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BAKER (CEO)
(208) 620-5200
Entity
Organization
Contact information
Practice address
1090 W PARK PL STE B, COEUR D ALENE, ID 83814-2785
(208) 292-0697
(208) 292-0357
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 667-6547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
133V00000X
Registered Dietitian
—
—
175T00000X
Peer Specialist
—
—
183500000X
Pharmacist
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
05/05/2022
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