DIRNE HEALTH CENTERS, INC. (NPI# 1952775140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952775140 |
| Entity Type | Organization |
| Organization Name | DIRNE HEALTH CENTERS, INC. |
| Other Organization Name | HERITAGE HEALTH KROC RX |
| Practice Address |
1765 W Golf Course Rd Coeur D Alene ID 83815-9033 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2082920292 |
| Mailing Telephone | 2086205200 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | MICHAEL BAKER (CEO) |
| Authorized Official Telephone | 2086205200 |
| Is Organization Subpart | Y |
| Parent Organization Name | DIRNE HEALTH CENTERS INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | MEDICARE PART B 1378465 | 1378465 | 01 |
| Other Name | Type Code |
|---|---|
| Heritage Health | Doing Business As Name - Organization |
| Heritage Health Kroc Rx | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1760736334 | Dirne Health Centers, Inc. | Physician Assistant | 16760 N Highway 41, Rathdrum, ID 83858-8715 | 2012-11-05 |
| Street Address |
1765 W GOLF COURSE RD |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-9033 |
| 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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| 1225517055 | Community Health Clinics, Inc. | Clinic/Center | 4085 E Greenhurst Rd, Nampa, ID 83686-8657 | 2018-08-13 |
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| 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 | ||||
| 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.