DIRNE HEALTH CENTERS INC (NPI# 1902392673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902392673 |
Entity Type | Organization |
Organization Name | DIRNE HEALTH CENTERS INC |
Other Organization Name | HERITAGE HEALTH CHILDREN AND FAMILY SERVICES |
Practice Address |
6795 N Mineral Dr Coeur D Alene ID 83815 |
Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
Practice Telephone | 2086205200 |
Mailing Telephone | 2086205200 |
Enumeration Date | 2018-07-06 |
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 | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
N | 101Y00000X | Counselor | 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 175T00000X | Peer Specialist | Other Service Providers | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | 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 |
Other Name | Type Code |
---|---|
Heritage Health Children and Family Services | Doing Business As Name - Organization |
Heritage Health Pain | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720564271 | Dirne Health Centers Inc | Counselor | 1090 W Park Pl, Coeur D Alene, ID 83814-2785 | 2018-07-18 |
1568910156 | Dirne Health Centers Inc | Counselor | 622 W College Ave, St Maries, ID 83861-1822 | 2016-09-13 |
1124474101 | Dirne Health Centers Inc | Counselor | 1052 W Mill Ave, Coeur D Alene, ID 83814-2444 | 2016-05-10 |
1174860894 | Dirne Health Centers Inc | Physician Assistant | 2025 W Park Pl, Suite B, Coeur D Alene, ID 83814-2787 | 2013-01-15 |
Street Address |
6795 N MINERAL DR |
City | COEUR D ALENE |
State | ID |
Zip Code | 83815 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023411121 | Kelly Rodkey | Case Manager/Care Coordinator | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2014-10-02 |
1275141236 | Chase Kiyoshi Yamamoto | Community Health Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2020-07-16 |
1043837016 | Madison Marie Floyd | Community Health Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2020-06-25 |
1386279321 | Roderic Ringhand | Social Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2020-03-10 |
1477191922 | Angela Murphy | Counselor | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2019-12-16 |
1396274932 | Navara Reardon | Social Worker | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2017-06-07 |
1417498247 | Francis Detar | Nurse Practitioner | 6795 N Mineral Dr, Coeur D Alene, ID 83815-8700 | 2017-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
Find all providers in zip 83815 |
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 | 83815 |
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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.