Heritage Health | |
1809 E Sherman Ave Coeur D Alene ID 83814-5873 | |
(208) 665-9612 | |
(208) 635-0473 |
Full Name | Heritage Health |
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Speciality | Clinic/Center |
Location | 1809 E Sherman Ave, Coeur D Alene, Idaho |
Authorized Official Name and Position | Jill Conte (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 2084150299 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Heritage Health Po Box 1387 Hayden ID 83835-1387 Ph: (208) 415-0299 | Heritage Health 1809 E Sherman Ave Coeur D Alene ID 83814-5873 Ph: (208) 665-9612 |
NPI Number | 1699407478 |
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Provider Enumeration Date | 06/29/2022 |
Last Update Date | 04/21/2023 |
Certification Date | 04/21/2023 |
Medicare PECOS PAC ID | 2466353354 |
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Medicare Enrollment ID | O20220929003362 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699407478 | NPI | - | NPPES |
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