HERITAGE HEALTH
NPI 1720564271
Clinic/Center - Federally Qualified Health Center (FQHC) in Coeur D Alene, ID
NPI Status: Active since July 18, 2018
Contact Information
1090 W PARK PL STE B
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 292-0697
Fax: (208) 292-0357
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 13D2104558
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 09-30-2027
About HERITAGE HEALTH
This page provides the complete NPI Profile along with additional information for Heritage Health, a primary care provider established in Coeur D Alene, Idaho operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1720564271 assigned on July 2018. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Heritage Health operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Heritage Health. The authorized official of this NPI record is Michael Baker (Ceo)
- NPI
- 1720564271
- Provider Legal Name
- DIRNE HEALTH CENTERS INC
- Other Organization Name
- HERITAGE HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1090 W PARK PL STE B COEUR D ALENE, ID 83814
- Location Phone
- (208) 292-0697
- Location Fax
- (208) 292-0357
- Mailing Address
- PO BOX 1387 HAYDEN, ID 83835
- Mailing Phone
- (208) 415-0299
- Mailing Fax
- (208) 292-0357
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-18-2018
- Last Update Date
- 05-05-2022
- Code Navigator
A primary care provider (PCP) like Heritage Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 740 McKinley Ave
Kellogg, ID 83837
(208) 783-1267 - 925 E Polston Ave
Post Falls, ID 83854
(208) 625-5640 - 16760 N Highway 41
Rathdrum, ID 83858
(208) 687-5627 - 622 W College Ave Ste 2
St Maries, ID 83861
(208) 245-4363 - 2025 W Park Pl Ste B
Coeur D Alene, ID 83814
(208) 620-5210 - 6795 N Mineral Dr
Coeur D Alene, ID 83815
(208) 620-5200 - 2201 Ironwood Pl
Coeur D Alene, ID 83814
(208) 769-4222 - 109 E Harrison Ave
Coeur D Alene, ID 83814
(208) 292-0281 - 2205 Ironwood Pl Ste A
Coeur D Alene, ID 83814
(208) 664-8347 - 1221 W Ironwood Dr Ste 100
Coeur D Alene, ID 83814
(208) 620-5210 - 1090 W Park Pl
Coeur D Alene, ID 83814
(208) 215-2005 - 196 W Haycraft Ave
Coeur D Alene, ID 83815
(208) 415-0299
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 4 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 5 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | |
| 6 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 7 | 1041S0200X | Behavioral Health & Social Service Providers | Social Worker | |
| 8 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 9 | 122300000X | Dental Providers | Dentist | |
| 10 | 1223G0001X | Dental Providers | Dentist | |
| 11 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 12 | 175T00000X | Other Service Providers | Peer Specialist | |
| 13 | 183500000X | Pharmacy Service Providers | Pharmacist | |
| 14 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2104558
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- October 01, 2025
- Certificate Expiration Date
- September 30, 2027
- Laboratory Director
- CAROLYN GIBBS
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Heritage Health on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720564271, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720564271, enumerated as an "organization" on July 18, 2018.
The provider is located at 1090 W PARK PL STE B COEUR D ALENE, ID 83814 and the phone number is (208) 292-0697.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
