DIRNE HEALTH CENTERS, INC. (NPI# 1043603160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043603160 |
| Entity Type | Organization |
| Organization Name | DIRNE HEALTH CENTERS, INC. |
| Other Organization Name | HERITAGE HEALTH DENTAL CLINIC WALLACE |
| Practice Address |
413 Pine St Wallace ID 83873-2256 |
| Mailing Address |
Po Box 3648 Coeur D Alene ID 83816-2522 |
| Practice Telephone | 2082920303 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |
| Authorized Official Name | PAMELA BACKMAN (CFO) |
| Authorized Official Telephone | 2082920303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Heritage Health Dental Clinic Wallace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775140 | Dirne Health Centers, Inc. | Counselor | 1765 W Golf Course Rd, Coeur D Alene, ID 83815-9033 | 2015-11-25 |
| 1255756730 | Dirne Health Centers, Inc. | Counselor | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2014-02-20 |
| 1992044077 | Dirne Health Centers, Inc. | Clinic/Center | 196 W Haycraft Ave, Coeur D Alene, ID 83815-9317 | 2013-02-08 |
| 1962577999 | Dirne Health Centers, Inc. | Clinic/Center | 201 E Harrison Ave, Coeur D Alene, ID 83814-3240 | 2006-11-22 |
| 1285686477 | Dirne Health Centers, Inc. | Counselor | 1090 W Park Place, Coeur D Alene, ID 83814-2480 | 2006-05-16 |
| 1811448475 | Dirne Health Centers, Inc. | Counselor | 1000 W Garden Ave, Coeur D Alene, ID 83814-2161 | 2016-10-19 |
| 1841696952 | Dirne Health Centers, Inc. | Physician Assistant | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2014-11-17 |
| 1063853240 | Dirne Health Centers, Inc. | Physical Therapist | 610 W Hubbard St, 122, Coeur D Alene, ID 83814-2285 | 2013-07-16 |
| 1760736334 | Dirne Health Centers, Inc. | Physician Assistant | 16760 N Highway 41, Rathdrum, ID 83858-8715 | 2012-11-05 |
| Street Address |
413 PINE ST |
| City | WALLACE |
| State | ID |
| Zip Code | 83873-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215041546 | John G Branz | Dentist | 413 Pine St, Wallace, ID 83873 | 2006-08-17 |
| 1851550800 | Dr John G Branz | Dentist | 413 Pine St, Wallace, ID 83873-2256 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548414519 | Alternative Community Enrichment Services, Inc. | Case Management | 609 Bank Street, Wallace, ID 83873 | 2008-11-04 |
| 1861411126 | Joseph Bayard Miller, Jr. | Family Medicine | 610 Cedar St, Wallace, ID 83873 | 2006-07-18 |
| 1770817967 | Alternative Community Enrichment Services, Inc. | Community/Behavioral Health | 609 Bank Street, Wallace, ID 83873 | 2009-09-22 |
| 1174767180 | Alternative Community Enrichment Services, Inc. | Case Management | 609 Bank Street, Wallace, ID 83873 | 2009-04-22 |
| 1639513567 | Teri Lee Schmehl | Counselor | 416 6th St, Wallace, ID 83873-2219 | 2013-04-22 |
| 1396176624 | Ammon Hopkins | Counselor | 416 6th St, Wallace, ID 83873-2219 | 2013-12-12 |
| 1619142452 | Deb Elliott-pearson M.d., P.C. | Family Medicine | 516 Bank St, Wallace, ID 83873-2225 | 2008-04-23 |
| 1487851234 | Errol Herman Arford | Counselor | 518 Bank St Ste 200, Wallace, ID 83873-2225 | 2007-06-27 |
| 1598766347 | New Hope Clinic | Counselor | 518 Bank St, Suite 200, Wallace, ID 83873-2225 | 2005-08-02 |
| 1700932704 | Wayne L. Jurkovich | Dentist | 611 Bank St, Wallace, ID 83873-2226 | 2007-01-25 |
| Find all providers in zip 83873 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1912022369 | Goshen Medical Center Incorporated | Clinic/Center | 110 Eastwood Drive, Wallace, NC 28466-9236 | 2007-03-21 |
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| 1225517055 | Community Health Clinics, Inc. | Clinic/Center | 4085 E Greenhurst Rd, Nampa, ID 83686-8657 | 2018-08-13 |
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| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1912401381 | Community Health Clinic Inc. | Clinic/Center | 700 N Star Rd, Star, ID 83669-5417 | 2018-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.