| Heritage Health Cfhl Cda | |
|
3700 W Seltice Way Coeur D Alene ID 83814-8921 | |
| (208) 415-0299 | |
| (208) 620-3990 |
| Full Name | Heritage Health Cfhl Cda |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3700 W Seltice Way, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Michael Baker (CEO) |
| Authorized Official Contact | 2082920256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Health Cfhl Cda Po Box 1387 Hayden ID 83835-1387 Ph: (208) 415-0299 | Heritage Health Cfhl Cda 3700 W Seltice Way Coeur D Alene ID 83814-8921 Ph: (208) 415-0299 |
| NPI Number | 1194397240 |
|---|---|
| Provider Enumeration Date | 07/16/2021 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194397240 | NPI | - | NPPES |
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