Dirne Health Centers, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Coeur D Alene, ID
NPI 1194397240 · NPPES record last updated Nov 3, 2025
Key facts
- NPI
- 1194397240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- DIRNE HEALTH CENTERS, INC.
- Practice address
- 3700 W Seltice Way
Coeur D Alene, ID 83814-8921 - Phone
- (208) 415-0299
- Fax
- (208) 620-3990
- NPI assigned
- Jul 16, 2021
- Organization subpart
- No
Authorized official
- Name
- Michael Baker
- Title
- Ceo
- Phone
- (208) 292-0256
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 9
Practitioners 123
-
David Scott Atkins, PA-C
-
Rachel Elaine Bagley, FNP-BC
-
Angela Lynn Blake, DNP
-
Dawn C Brose, LCSW
-
Erica Marie Chaney I, LSW
-
Morgan Lorraine Cook Osborne, PMHNP
-
Karen Joy Currie, LCSW
-
Laurie Gallegos, PA-C
-
Laura J. Haney, BA, BSN
-
Jeffrey Benson Hargraves, PA-C
-
Catherine Hillman, LPC
-
Keelin Marie Hines, PMHNP-BC
-
Nancy Mae Hunter, FNP
-
Tina Husky, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID
Federally qualified health center certification: CCN 131850
- Legal name
- DIRNE HEALTH CENTERS, INC.
- Doing business as
- HERITAGE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- May 21, 2013
- Last certification
- May 21, 2013
- Ownership / control type
- Non-profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 17, 1986 in ID
- Enrollment address
- 3700 W Seltice Way
Coeur D Alene, ID 83814-8921
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Michael R Baker |
Corporate Officer |
Dec 7, 2009 | |
| W-2 Managing Employee |
Dec 7, 2009 | ||
| Sarah Sullivan |
Corporate Officer |
Oct 1, 2024 | |
| Carl McMinimy |
Corporate Officer |
Oct 1, 2024 | |
| Jana L Hull |
Corporate Officer |
Oct 1, 2024 | |
| Linda Johan |
Corporate Officer |
Oct 1, 2024 | |
| Paul Amador |
Corporate Officer |
Oct 1, 2024 | |
| Brinnon Mandel |
Corporate Officer |
Oct 1, 2024 | |
| Ann Spellman Dare |
Corporate Officer |
Oct 1, 2024 | |
| Ron Beecher |
Corporate Officer |
Oct 1, 2024 | |
| Elizabeth Montgomery |
Corporate Officer |
Oct 1, 2024 | |
| Pamela Sue Bellatty Thompson |
Corporate Officer |
Oct 1, 2024 | |
| George Rohlinger |
Corporate Officer |
Oct 1, 2024 | |
| Michael Schmidt |
Corporate Officer |
Oct 1, 2024 | |
| Bruce Cyr |
Corporate Officer |
Oct 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050303001041 | ID | Part B Supplier - Clinic/Group Practice | 2466353354 |
Receives reassigned benefits from 86 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: St Maries, ID; Rathdrum, ID; Post Falls, ID; Kellogg, ID; Coeur D Alene, ID; Coeur D'Alene, ID |
| O20130620000392 | ID | Part a Provider - Federally Qualified Health Center (FQHC) | 2466353354 |
1 other NPI on this enrollment Practice locations: Coeur D Alene, ID |
National Provider Directory
- Tax ID family
- Dirne Health Centers Inc
Locations
108 E Walnut Ave
Coeur D Alene, ID 83814
Phone (208) 292-0682
1000 W Garden Ave
Coeur D Alene, ID 83814
Phone (208) 769-7818
3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250
1800 Lincoln Way
Ste 203
Coeur D Alene, ID 83814
201 E Harrison Ave
Coeur D Alene, ID 83814
Phone (208) 292-0697
1038 Northwest Blvd
Coeur D Alene, ID 83814
Phone (208) 620-5210
1221 W Ironwood Dr
Ste 100
Coeur D Alene, ID 83814
Phone (208) 620-5210
1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005
1111 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 664-5174
1765 W Golf Course Rd
Coeur D Alene, ID 83815
Phone (208) 277-0795
1800 Lincoln Way
Ste 202
Coeur D Alene, ID 83814
Phone (208) 292-0303
14775 N Kimo Ct
Ste B
Rathdrum, ID 83858
Phone (208) 687-5627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Mental Health Counselor |
101YM0800X | |||
| School Counselor |
101YS0200X | |||
| Counseling Psychologist |
103TC1900X | |||
| Clinical Social Worker |
1041C0700X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other names
- Heritage Health CFHL CDA
Other providers in Coeur D Alene, ID
- Dirne Health Centers Inc
- Dirne Health Centers Inc
- Dirne Health Centers, Inc
- Dirne Health Centers, Inc
- Dirne Health Centers, Inc
- Dirne Health Centers, Inc.
- Dirne Health Centers, Inc.
- Sydney Elizabeth Disselkamp
- Helena Ann Ditko
- Logan Ditto
All providers in Coeur D Alene, ID · Federally Qualified Health Center (FQHC) in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.