DIRNE HEALTH CENTERS, INC. (NPI# 1760736334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760736334 |
| Entity Type | Organization |
| Organization Name | DIRNE HEALTH CENTERS, INC. |
| Other Organization Name | HERITAGE HEALTH |
| Practice Address |
16760 N Highway 41 Rathdrum ID 83858-8715 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2086875627 |
| Practice Fax Number | 8448073782 |
| Mailing Telephone | 2086205200 |
| Enumeration Date | 2012-11-05 |
| 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 | 363A00000X | Physician Assistant | ID | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 101Y00000X | Counselor | 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | DMERC PTAN NUMBER | 6688460002 | 01 |
| Other Name | Type Code |
|---|---|
| Dirne Rathdrum Clinic | 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 |
| 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 |
| 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 |
| Street Address |
16760 N HIGHWAY 41 |
| City | RATHDRUM |
| State | ID |
| Zip Code | 83858-8715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104896075 | Regina Miller Prindle | Nurse Practitioner | 16760 N Highway 41, Rathdrum, ID 83858-8715 | 2006-01-24 |
| 1285191791 | Laboratory Corporation of America | Clinical Medical Laboratory | 16760 N Highway 41, Rathdrum, ID 83858-8715 | 2019-02-21 |
| 1245241561 | Paul B. Haynes | Family Medicine | 16760 N Highway 41, Rathdrum, ID 83858-8715 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183578 | Kerri Ruddell | Nurse Practitioner | 16760 Id-41, Rathdrum, ID 83858 | 2019-06-18 |
| 1811555758 | Daniel Whitesitt | Dentist | 14596 Id-41, Rathdrum, ID 83858 | 2019-06-05 |
| 1831437839 | Patricia M Salois | Speech-Language Pathologist | 1564 Washington Street, Rathdrum, ID 83858 | 2013-01-25 |
| 1063554673 | Lakeland Joint School Disrict #272 | Local Education Agency (LEA) | 1564 Washington Ave, Rathdrum, ID 83858 | 2007-02-12 |
| 1275695140 | James M Mcnamara | Dentist | 13997 W Hwy 53, Rathdrum, ID 83858 | 2006-12-15 |
| 1568573962 | Chad Stephen Devore | Dentist | 14596 Hwy 41, Suite A, Rathdrum, ID 83858 | 2006-08-31 |
| 1811982994 | Frances L. White | Contractor | 14528 N Wight St, Rathdrum, ID 83858 | 2005-09-15 |
| 1578061883 | Ann N Moffett | Nurse Practitioner | 858 Commerce Dr., Smelterville, ID 83858 | 2018-02-01 |
| 1063055069 | Karin Sue Duncan | Naturopath | 16726 N Meadowview Ln, Rathdrum, ID 83858-0017 | 2019-10-22 |
| 1770768624 | Gabrielle Durbin | Private Vehicle | W 7164 Diagonal, Rathdrum, ID 83858-0283 | 2008-01-09 |
| Find all providers in zip 83858 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.