NPI 1720564271 · live from the CMS NPI Registry
Dirne Health Centers INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Coeur D Alene, ID. National Provider Identifier 1720564271, active.
NPI record
| NPI | 1720564271 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Federally Qualified Health Center (FQHC) 261QF0400X |
| Practice location | 1090 W Park Pl Ste B, Coeur D Alene, ID 83814 |
| Practice phone | 208-292-0697 |
| Mailing address | Po Box 1387, Hayden, ID 83835 |
| Enumerated | July 18, 2018 |
| Last updated | May 5, 2022 |
| Authorized official | Michael Baker, Ceo |
| Other names | Heritage Health |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Dentist | 122300000X | — |
| Dentist, General Practice | 1223G0001X | — |
| Dietitian, Registered | 133V00000X | — |
| Peer Specialist | 175T00000X | — |
| Pharmacist | 183500000X | — |
| Counselor | 101Y00000X | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, Professional | 101YP2500X | — |
| Social Worker | 104100000X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, School | 1041S0200X | — |
| Family Medicine | 207Q00000X | — |
| Clinic/Center, Federally Qualified Health Center (FQHC) primary | 261QF0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.