| Heritage Health | |
|
1090 W Park Pl Ste B Coeur D Alene ID 83814-2785 | |
| (208) 292-0697 | |
| (208) 292-0357 |
| Full Name | Heritage Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1090 W Park Pl Ste B, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Michael Baker (CEO) |
| Authorized Official Contact | 2086205200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Health Po Box 1387 Hayden ID 83835-1387 Ph: (208) 415-0299 | Heritage Health 1090 W Park Pl Ste B Coeur D Alene ID 83814-2785 Ph: (208) 292-0697 |
| NPI Number | 1720564271 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 05/05/2022 |
| Certification Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720564271 | NPI | - | NPPES |
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