DIRNE HEALTH CENTERS, INC (NPI# 1487076048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487076048 |
| Entity Type | Organization |
| Organization Name | DIRNE HEALTH CENTERS, INC |
| Other Organization Name | HERITAGE MOUNTAIN HEALTH KELLOGG |
| Practice Address |
740 Mckinley Ave Kellogg ID 83837-2693 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 0878312672 |
| Practice Fax Number | 8448073782 |
| Mailing Telephone | 2086205200 |
| Enumeration Date | 2014-01-15 |
| 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 | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
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 | 122300000X | Dentist | Dental 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 | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
ID | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE PART B PTAN 1378465 | 1378465 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Mountain Health Kellogg | Doing Business As Name - Organization |
| Mountain Health Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447305610 | Dirne Health Centers, Inc | Dentist | 1090 West Park Place, Suite B, Coeur D Alene, ID 83814 | 2007-01-25 |
| 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 |
| Street Address |
740 MCKINLEY AVE |
| City | KELLOGG |
| State | ID |
| Zip Code | 83837-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396797726 | Frederick R Haller | Internal Medicine | 740 Mckinley Ave, Kellogg, ID 83837-2523 | 2006-05-16 |
| 1205445574 | Lindsey A Hill | Community Health Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2020-07-23 |
| 1417414913 | Laboratory Corporation of America | Clinical Medical Laboratory | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2019-02-21 |
| 1972089605 | Kathleen Nansel | Rehabilitation Practitioner | 740 Mckinley Ave, Kellogg, ID 83837 | 2018-07-16 |
| 1619453370 | Shannon Marie Nansel | Peer Specialist | 740 Mckinley Ave, Kellogg, ID 83837 | 2018-07-16 |
| 1588158943 | Amanda Rae Olson | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2018-06-19 |
| 1811413750 | Carrie Jane Leeling | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2017-08-22 |
| 1679094940 | Casey Malia Vincent | Counselor | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2017-06-27 |
| 1114382553 | Foot and Ankle Clinic of Spokane Inc | Durable Medical Equipment & Medical Supplies | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2015-12-30 |
| 1144697814 | Karen Joy Currie | Social Worker | 740 Mckinley Ave, Kellogg, ID 83837-2693 | 2015-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740632983 | Jessica Croston | Non-emergency Medical Transport (VAN) | 12 Slaughter House Gul, Wardner, Kellogg, ID 83837 | 2016-07-12 |
| 1568758720 | Daybreak Canyon LLC | Residential Treatment Facility, Emotionally Disturbed Children | 1229 Country Club Rd., Kellogg, ID 83837 | 2011-06-24 |
| 1295034684 | Rusty M Wood | Physical Therapist | 704 Mckinley Avenue, Kellogg, ID 83837 | 2011-03-24 |
| 1295914760 | Silver Valley Emergency Physicians | Emergency Medicine | 3 Jacobs Gulch Road, Kellogg, ID 83837 | 2007-10-31 |
| 1629117429 | Community Ambulance Service Inc | Ambulance | 124 W Brown, Kellogg, ID 83837 | 2007-02-06 |
| 1396810255 | Steven Joseph Rinaldi | Dentist | 418 W Cameron Ave, Kellogg, ID 83837 | 2006-11-22 |
| 1760576193 | Kellogg Drugs LLC | Pharmacy | 131 West Cameron Ave, Kellogg, ID 83837 | 2006-10-02 |
| 1578654406 | Neil Orlew Norman | Dentist | 302 E Cameron Ave, Kellogg, ID 83837 | 2006-09-27 |
| 1285677278 | Loren Ken Zeitz | Anesthesiology | 25 Jacobs Gulch, Kellogg, ID 83837 | 2006-06-14 |
| 1962981951 | Joanne Elizabeth Swiatek | Occupational Therapist | 25 Jacobs Gulch Rd, Kellogg, ID 83837 | 2018-08-09 |
| Find all providers in zip 83837 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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.