| Heritage Health | |
|
1038 Northwest Blvd Coeur D Alene ID 83814-2249 | |
| (208) 620-5210 | |
| (844) 803-7399 |
| Full Name | Heritage Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1038 Northwest Blvd, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Michael Baker (CEO) |
| Authorized Official Contact | 2084150299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Health Po Box 1387 Hayden ID 83835-1387 Ph: (208) 415-0299 | Heritage Health 1038 Northwest Blvd Coeur D Alene ID 83814-2249 Ph: (208) 620-5210 |
| NPI Number | 1053980110 |
|---|---|
| Provider Enumeration Date | 06/23/2021 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Medicare PECOS PAC ID | 2466353354 |
|---|---|
| Medicare Enrollment ID | O20210728003811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053980110 | NPI | - | NPPES |
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