NPIMap

Organization Active NPI

Dirne Health Centers, Inc.

Doing business as Heritage Health CFHL CDA

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
National Provider Identifier
1194397240
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
DIRNE HEALTH CENTERS, INC.
Doing business as
Heritage Health CFHL CDA
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
Last updated
Nov 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Baker
Title
Ceo
Phone
(208) 292-0256

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 1

  • Heritage Health CFHL CDA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194397240. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jan 17, 1986 in ID
Enrollment address
3700 W Seltice Way
Coeur D Alene, ID 83814-8921

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Amanda Olson10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 W Garden Ave
Coeur D Alene, ID 83814
Phone (208) 769-3374

1052 W Mill Ave
Coeur D Alene, ID 83814
Phone (208) 664-3301

108 E Walnut Ave
Coeur D Alene, ID 83814
Phone (208) 292-0682

1090 W Park Pl
Ste B
Coeur D Alene, ID 83814
Phone (208) 292-0303

1111 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 664-5174

1800 Lincoln Way
Ste 203
Coeur D Alene, ID 83814

1809 E Sherman Ave
Coeur D Alene, ID 83814
Phone (208) 665-9612

196 W Haycraft Ave
Coeur D Alene, ID 83815
Phone (208) 665-4673

201 E Harrison Ave
Coeur D Alene, ID 83814
Phone (208) 292-0697

2201 N Ironwood Pl
Ste 100
Coeur D Alene, ID 83814
Phone (208) 769-4222

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

14775 N Kimo Ct
Ste B
Rathdrum, ID 83858
Phone (208) 687-5627

622 W College Ave
St Maries, ID 83861
Phone (208) 245-4363

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael R Baker Individual Corporate OfficerCeo Dec 7, 2009
W-2 Managing EmployeeCeo Dec 7, 2009
Sarah Sullivan Individual Corporate OfficerBoard Member Oct 1, 2024
Carl McMinimy Individual Corporate OfficerBoard Member Oct 1, 2024
Jana L Hull Individual Corporate OfficerBoard Member Oct 1, 2024
Linda Johan Individual Corporate OfficerBoard Member Oct 1, 2024
Paul Amador Individual Corporate OfficerBoard Member Oct 1, 2024
Brinnon Mandel Individual Corporate OfficerBoard Member Oct 1, 2024
Ann Spellman Dare Individual Corporate OfficerBoard Member Oct 1, 2024
Ron Beecher Individual Corporate OfficerBoard Member Oct 1, 2024
Elizabeth Montgomery Individual Corporate OfficerBoard Member Oct 1, 2024
Pamela Sue Bellatty Thompson Individual Corporate OfficerBoard Member Oct 1, 2024
George Rohlinger Individual Corporate OfficerBoard Member Oct 1, 2024
Michael Schmidt Individual Corporate OfficerBoard Member Oct 1, 2024
Bruce Cyr Individual Corporate OfficerBoard Member Oct 1, 2024

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1194397240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387",
            "telephone_number": "208-415-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W SELTICE WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838148921",
            "telephone_number": "208-415-0299",
            "fax_number": "208-620-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRNE HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-292-0256"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Health CFHL CDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.