HERITAGE HEALTH PHARAMACY
NPI 1003682063
Pharmacy in Coeur D Alene, ID

Q: What is Dirne Health Centers, Inc's NPI number?

The NPI number for Dirne Health Centers, Inc is 1003682063. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is doing business as Heritage Health Pharamacy.

Q: What is Dirne Health Centers, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since November 30, 2023CLIA 13D2235437 · Waiver

1090 W PARK PL, COEUR D ALENE, ID 83814(208) 292-0662(208) 292-6738 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heritage Health Pharamacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE HEALTH PHARAMACY (NPI 1003682063) is a healthcare organization registered as a pharmacy in Coeur D Alene, Idaho and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Michael Baker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003682063

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameDIRNE HEALTH CENTERS, INC

Location Address1090 W PARK PLCoeur D Alene, ID 83814-2785

Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299 · Fax (208) 620-3990

Phone(208) 292-0662

Fax(208) 292-6738

Organization SubpartNo

Authorized OfficialMichael BakerCeo · (208) 292-0256

Enumeration DateNovember 30, 2023

Last NPPES UpdateAugust 23, 2024

NPPES CertifiedAugust 23, 2024

✔ NPI 1003682063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

1090 W PARK PL, Coeur D Alene, ID 83814

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Other Names 1

Doing Business AsHeritage Health Pharamacy

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2235437

Heritage Health · Coeur D'alene, ID

Active · expires Sep 8, 2027

CLIA Number13D2235437

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 9, 2025

Certificate Expiration DateSeptember 8, 2027

Laboratory DirectorDavid Atkins

Laboratory Phone(208) 625-5200

Laboratory LocationHeritage Health3700 W Seltice Way, Coeur D'alene, ID 83814

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH MAGNUSON APRN

Nurse Practitioner (Pediatrics)