Dirne Health Centers, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Rathdrum, ID
NPI 1760736334 · NPPES record last updated Jun 18, 2025
Key facts
- NPI
- 1760736334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- DIRNE HEALTH CENTERS, INC.
- Practice address
- 16760 N Highway 41
Rathdrum, ID 83858-8715 - Phone
- (208) 687-5627
- Fax
- (844) 807-3782
- NPI assigned
- Nov 5, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- DIRNE HEALTH CENTERS INC
Authorized official
- Name
- Michael Baker
- Title
- Ceo
- Phone
- (208) 620-5200
Other NPIs on the same Medicare enrollment 9
Other NPIs with the same Medicare PAC ID 10
Practitioners 83
-
David Scott Atkins, PA-C
-
Kimberly Anne Johnson, LCPC
-
Josie J Phillips, LCSW
-
Shayne M. Aguirre, LPC, NCC, QSUDP
-
Amanda J Austin, PA-C
-
Rachel Elaine Bagley, FNP-BC
-
Michelle L Baxter, ARNP
-
Angela Lynn Blake, DNP
-
Dawn C Brose, LCSW
-
Theresa Marie Calihan, MSN FNP
-
Mellisa Ann Carlson, LCSW
-
Erica Marie Chaney I, LSW
-
Casey L Cinkovich, LCPC
-
Morgan Lorraine Cook Osborne, PMHNP
-
Karen Joy Currie, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ID
Federally qualified health center certification: CCN 131848
- Legal name
- DIRNE HEALTH CENTERS, INC.
- Doing business as
- DIRNE RATHDRUM CLINIC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Feb 6, 2013
- Last certification
- Feb 6, 2013
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jan 17, 1986 in ID
- Enrollment address
- 16760 N Highway 41
Rathdrum, ID 83858-8715
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 | ||
| Operational/Managerial Control |
Dec 7, 2009 | ||
| Carl McMinimy |
Corporate Director | Mar 3, 2019 | |
| Jana L Hull |
Corporate Director | Sep 27, 2016 | |
| Linda Johan |
Corporate Director |
Feb 1, 2004 | |
| Paul Amador |
Corporate Director | Jul 1, 2018 | |
| Brinnon Mandel |
Corporate Director | Jan 1, 2015 | |
| Ann Spellman Dare |
Corporate Director |
Sep 27, 2016 | |
| Ron Beecher |
Corporate Director |
Jun 1, 2016 | |
| Ying Zhang |
Corporate Officer |
Jul 1, 2024 | |
| Elizabeth Montgomery |
Corporate Director |
Jul 1, 2018 | |
| Pamela Sue Bellatty Thompson |
Corporate Director |
Jan 29, 2025 | |
| George Rohlinger |
Corporate Director |
Jan 29, 2025 | |
| Michael Schmidt |
Corporate Director |
Feb 26, 2013 | |
| Bruce Cyr |
Corporate Director |
Jan 29, 2025 |
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 |
| O20130205000173 | ID | Part a Provider - Federally Qualified Health Center (FQHC) | 2466353354 | Practice locations: Rathdrum, ID |
| O20200219000680 | ID | DME Supplier - Physician - Family Practice |
2466353354 | Practice locations: Rathdrum, ID |
National Provider Directory
- Part of
- Dirne Health Centers Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Physician Assistant |
363A00000X | ID | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
16760 N Highway 41
Rathdrum, ID 83858-8715
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 620-5200
Other names
- Heritage Health Rathdrum
Other providers in Rathdrum, ID
- Christine Danser
- Danielle Dees
- Chad Stephen Devore
- Dirne Health Centers Inc
- Dirne Health Centers Inc
- Doc'S Pharmacy2 LLC
- Karin Sue Duncan
- Gabrielle Durbin
- Sonja Enger
- Theresa Erbe-Neuberger
All providers in Rathdrum, 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 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.
- 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.