DIRNE HEALTH CENTERS, INC. (NPI# 1255756730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255756730 |
| Entity Type | Organization |
| Organization Name | DIRNE HEALTH CENTERS, INC. |
| Other Organization Name | HERITAGE FAMILY SUPPORT SERVICES OF NORTH IDAHO |
| Practice Address |
2201 Ironwood Pl Ste 100 Coeur D Alene ID 83814-2670 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2087694222 |
| Practice Fax Number | 2086677557 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | MICHAEL BAKER (CEO) |
| Authorized Official Telephone | 2086205200 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIRNE HEALTH CENTERS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE PART B PTAN 1378465 | 1378465 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Family Support Services of North Idaho | Doing Business As Name - Organization |
| Heritage Health | 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 |
| 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 |
| 1043603160 | Dirne Health Centers, Inc. | Dentist | 413 Pine St, Wallace, ID 83873-2256 | 2015-03-13 |
| 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 |
2201 IRONWOOD PL STE 100 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063285 | Olivia G Smith | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-09-30 |
| 1629628284 | Brooke T Rushton | Community Health Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-09-16 |
| 1376198259 | Shavon L Harris | Social Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-08-07 |
| 1700439320 | Peter Christopher La Croix Huss | Social Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-07-23 |
| 1477106037 | Brittni Hudlet | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-07-22 |
| 1699332437 | Tiffany Stephenson | Peer Specialist | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-05-28 |
| 1801358890 | Christopher Winslow Green | Social Worker | 2201 Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013547801 | Health West, Inc. | Clinic/Center | 1001 N 7th Ave Ste 135, Pocatello, ID 83201-5761 | 2020-01-21 |
| 1861046039 | Health West, Inc. | Clinic/Center | 17400 N Hiline Rd, Pocatello, ID 83202-1669 | 2019-07-26 |
| 1518519255 | Health West Inc. | Clinic/Center | 911 N Grant Ave, Pocatello, ID 83204-2847 | 2019-07-12 |
| 1043794001 | Community Health Clinics, Inc. | Clinic/Center | 506 Fletcher Dr, Nampa, ID 83686-8854 | 2018-09-17 |
| 1972082675 | Community Health Clinics, Inc. | Clinic/Center | 1670 N Linder Rd, Kuna, ID 83634-3032 | 2018-08-13 |
| 1841779667 | Community Health Clinics, Inc. | Clinic/Center | 610 N School Ave, Kuna, ID 83634-1807 | 2018-08-13 |
| 1225517055 | Community Health Clinics, Inc. | Clinic/Center | 4085 E Greenhurst Rd, Nampa, ID 83686-8657 | 2018-08-13 |
| 1982183687 | Community Health Clinics, Inc. | Clinic/Center | 301 S Happy Valley Rd, Nampa, ID 83687-8828 | 2018-08-13 |
| 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 | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on DIRNE HEALTH CENTERS, INC..
| 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.