NPIMap

Organization Active NPI

Dirne Health Centers, Inc.

Doing business as Heritage Health Main

  • Federally Qualified Health Center (FQHC)
  • Coeur d'Alene, ID
National Provider Identifier
1285686477
Registry record updated Jun 18, 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 Main
Practice address
1090 W Park Place
Coeur D Alene, ID 83814-2480
Phone
(208) 215-2005
Fax
(844) 807-3782
NPI assigned
May 16, 2006
Last updated
Jun 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DIRNE HEALTH CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 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) 620-5200

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X
Psychologist 103T00000X
Counseling Psychologist 103TC1900X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Nurse Practitioner 363LF0000X
Health Psychologist 103TH0004X

Addresses

Primary practice location

1090 W Park Place
Coeur D Alene, ID 83814-2480

Mailing address

PO Box 1387
Hayden, ID 83835-1387
Phone (208) 620-5200

Other names 1

  • Heritage Health Main Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040415001152 ID Part A Provider - Federally Qualified Health Center (FQHC) 2466353354 Practice locations: Coeur D Alene, ID
O20050303001041 ID Part B Supplier - Clinic/Group Practice 2466353354 Receives reassigned benefits from 86 practitioners
23 other NPIs on this enrollment
Practice locations: St Maries, ID; Rathdrum, ID; Post Falls, ID; Kellogg, ID; Coeur D Alene, ID; Coeur D'Alene, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285686477. Details of each certification follow.

Federally qualified health center certification: CCN 131824

Legal name
DIRNE HEALTH CENTERS, INC.
Doing business as
HERITAGE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 29, 2004
Last certification
Apr 29, 2004
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jan 17, 1986 in ID
Enrollment address
1090 W Park PL
Coeur D Alene, ID 83814-2785
Related CCNs
131823

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
Part of
Amanda Olson

Ownership & related parties

All disclosed owners & managing parties 13

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
Operational/Managerial ControlCeo Dec 7, 2009
Cheri Zao Individual Corporate DirectorBoard Member Mar 1, 2019
Carl McMinimy Individual Corporate DirectorBoard Member Mar 3, 2019
Jana L Hull Individual Corporate DirectorBoard Member Sep 27, 2016
Christopher E Way Individual Corporate DirectorBoard Secretary Nov 7, 2016
Linda Johan Individual Corporate DirectorBoard Member Feb 1, 2004
Paul Amador Individual Corporate DirectorBoard Member Jul 1, 2018
Brinnon Mandel Individual Corporate DirectorBoard Member Jan 1, 2015
Ann Spellman Dare Individual Corporate DirectorBoard Member Sep 27, 2016
Donna Austin Individual Corporate DirectorBoard Member Jan 1, 2004
Ron Beecher Individual Corporate DirectorBoard Member Jun 1, 2016
Ying Zhang Individual Corporate DirectorCfo Jul 1, 2024
Michael Schmidt Individual OtherBoard Member Nov 1, 2013

Practitioners & affiliated clinicians

Practitioners 99

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 99

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1285686477",
    "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": "208-620-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 W PARK PLACE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142480",
            "telephone_number": "208-215-2005",
            "fax_number": "844-807-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRNE HEALTH CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRNE HEALTH CENTERS INC",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-620-5200"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_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": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Health Main",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.