DIRNE HEALTH CENTERS, INC (NPI# 1447305610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447305610 |
| Entity Type | Organization |
| Organization Name | DIRNE HEALTH CENTERS, INC |
| Other Organization Name | HERITAGE HEALTH |
| Practice Address |
1090 West Park Place Suite B Coeur D Alene ID 83814 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2082920303 |
| Practice Fax Number | 2086645346 |
| Mailing Telephone | 2086205200 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | MIKE 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 | 122300000X | Dentist | Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | RAILROAD MEDICARE | DD0229 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689039448 | Dirne Health Centers, Inc | Counselor | 14775 N Kimo Ct, Suite B, Rathdrum, ID 83858-8762 | 2015-12-22 |
| 1235503426 | Dirne Health Centers, Inc | Counselor | 2205 Ironwood Pl, Coeur D Alene, ID 83814-2487 | 2015-11-25 |
| 1689068413 | Dirne Health Centers, Inc | Family Medicine | 109 E Harrison Ave, Coeur D Alene, ID 83814-3238 | 2015-03-18 |
| 1487076048 | Dirne Health Centers, Inc | Counselor | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2014-01-15 |
| Street Address |
1090 WEST PARK PLACE SUITE B |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814 |
| 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 |
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| 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.