Dirne Health Centers Inc
Organization Active NPI Pharmacy · Rathdrum, ID
NPI 1447083548 · NPPES record last updated Jun 18, 2025
Key facts
- NPI
- 1447083548
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- Legal business name
- DIRNE HEALTH CENTERS INC
- Practice address
- 16760 N Highway 41
Rathdrum, ID 83858-8715 - Phone
- (208) 687-5627
- NPI assigned
- Aug 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Michael Baker
- Title
- Ceo
- Phone
- (208) 292-0256
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 9
Practitioners 1
-
Amanda Rae Olson, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230103000158 | ID | Part B Supplier - Pharmacy | 2466353354 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Coeur D Alene, ID; Rathdrum, ID |
National Provider Directory
- Tax ID family
- Dirne Health Centers Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Yes | ||
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
16760 N Highway 41
Rathdrum, ID 83858-8715
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other names
- Heritage Health Pharmacy Rathdrum
Other providers in Rathdrum, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.