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HERITAGE HEALTH
NPI 1720564271
Clinic/Center - Federally Qualified Health Center (FQHC) in Coeur D Alene, ID

Active since July 18, 2018CLIA Certified · 4 labs
1090 W PARK PL STE B, COEUR D ALENE, ID 83814(208) 292-0697(208) 292-0357 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2022, Feb 1, 2022, Jun 7, 2021 and 2 more (5 updates tracked since 2018).

About Heritage Health NPPES

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

HERITAGE HEALTH (NPI 1720564271) is a healthcare organization registered as a federally qualified health center (fqhc) in Coeur D Alene, Idaho and active in the NPI registry since July 2018. The organization holds 4 active CLIA laboratory certificates, maintains 12 additional practice locations, and lists Michael Baker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720564271
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameDIRNE HEALTH CENTERS INC
Location Address1090 W PARK PL STE BCoeur D Alene, ID 83814-2785
Mailing AddressPo Box 1387Hayden, ID 83835-1387 · (208) 415-0299 · Fax (208) 667-6547
Phone(208) 292-0697
Fax(208) 292-0357
Organization SubpartNo
Authorized OfficialMichael BakerCeo · (208) 620-5200
Enumeration DateJuly 18, 2018
Last NPPES UpdateMay 5, 20225 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1720564271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedPharmacistTaxonomy 183500000X
Also ListedFamily MedicineTaxonomy 207Q00000X
1090 W PARK PL STE B, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsHeritage Health

Secondary Practice Locations 12

Location 1109 E Harrison AveCoeur D Alene, ID 83814-3238 · Phone (208) 292-0281 · Fax (208) 666-4122
Location 2622 W College Ave Ste 2St Maries, ID 83861-1822 · Phone (208) 245-4363 · Fax (208) 245-4349
Location 316760 N Highway 41Rathdrum, ID 83858-8715 · Phone (208) 687-5627 · Fax (208) 687-5628
Location 4925 E Polston AvePost Falls, ID 83854-9049 · Phone (208) 625-5640 · Fax (208) 625-5641
Location 5740 McKinley AveKellogg, ID 83837-2693 · Phone (208) 783-1267 · Fax (208) 786-4471
Location 66795 N Mineral DrCoeur D Alene, ID 83815-8700 · Phone (208) 620-5200 · Fax (208) 667-6547
Location 72025 W Park Pl Ste BCoeur D Alene, ID 83814-2787 · Phone (208) 620-5210 · Fax (208) 664-5346
Location 82201 Ironwood PlCoeur D Alene, ID 83814-2670 · Phone (208) 769-4222 · Fax (208) 667-7557
Location 92205 Ironwood Pl Ste ACoeur D Alene, ID 83814-2487 · Phone (208) 664-8347 · Fax (208) 664-9217
Location 101221 W Ironwood Dr Ste 100Coeur D Alene, ID 83814-1402 · Phone (208) 620-5210 · Fax (844) 803-7399
Location 111090 W Park PlCoeur D Alene, ID 83814-2785 · Phone (208) 215-2005 · Fax (208) 292-0705
Location 12196 W Haycraft AveCoeur D Alene, ID 83815-9317 · Phone (208) 415-0299 · Fax (208) 625-2070

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

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 Accreditation 13D2104558

Heritage Health · Post Falls, ID
Active · expires Sep 30, 2027
CLIA Number13D2104558
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorCarolyn Gibbs
Laboratory Phone(208) 625-5640
Laboratory LocationHeritage Health925 E Polston, Post Falls, ID 83854
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 13D2235451

Heritage Health Rathdrum · Rathdrum, ID
Active · expires Sep 8, 2027
CLIA Number13D2235451
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorAnthony Rehil-Crest
Laboratory Phone(208) 625-5250
Laboratory LocationHeritage Health Rathdrum16760 N Hwy 41, Rathdrum, ID 83858
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D0679491

Heritage Health Kellogg · Kellogg, ID
Active · expires Oct 24, 2026
CLIA Number13D0679491
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 25, 2024
Certificate Expiration DateOctober 24, 2026
Laboratory DirectorAnthony Rehil-Crest
Laboratory Phone(208) 625-5250
Laboratory LocationHeritage Health Kellogg740 Mckinley Ave W, Kellogg, ID 83837
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2276425

Heritage Health Addiction Services St Maries · St Maries, ID
Active · expires Feb 7, 2027
CLIA Number13D2276425
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDavid Atkins
Laboratory Phone(208) 245-4363
Laboratory LocationHeritage Health Addiction Services St Maries120 S 13 Street, St Maries, ID 83861
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. REED K JARVIS D.D.S.
Dentist (General Practice)
1090 W PARK PL STE B
COEUR D ALENE, ID 83814
Kootenai County (208) 292-0697
DR. DEVIN DANIEL ROURKE DDS
Dentist (General Practice)
1090 W PARK PL STE B
COEUR D ALENE, ID 83814
Kootenai County (082) 920-6972
CHANDLER BOZARTH DDS
Dentist
1090 W PARK PL STE B
COEUR D ALENE, ID 83814
Kootenai County (208) 292-0697

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dirne Health Centers Inc's NPI number?

The NPI number for Dirne Health Centers Inc is 1720564271. It was assigned to this organization in the NPPES registry on July 18, 2018. The provider is doing business as Heritage Health.

Where is Dirne Health Centers Inc located?

Dirne Health Centers Inc is located at 1090 W Park Pl Ste B, Coeur D Alene, ID 83814. The listed phone number is (208) 292-0697.

What is Dirne Health Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Dirne Health Centers Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dirne Health Centers Inc was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.