| Heritage Behavioral Health | |
|
2025 W Park Pl Suite B Coeur D Alene ID 83814-2787 | |
| (208) 292-0292 | |
| Not Available |
| Full Name | Heritage Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2025 W Park Pl, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Mike Baker (CEO) |
| Authorized Official Contact | 2086205210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Behavioral Health Po Box 1387 Hayden ID 83835-1387 Ph: (208) 415-0299 | Heritage Behavioral Health 2025 W Park Pl Suite B Coeur D Alene ID 83814-2787 Ph: (208) 292-0292 |
| NPI Number | 1174860894 |
|---|---|
| Provider Enumeration Date | 01/15/2013 |
| Last Update Date | 03/28/2023 |
| Certification Date | 06/08/2021 |
| Medicare PECOS PAC ID | 2466353354 |
|---|---|
| Medicare Enrollment ID | O20130620000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174860894 | NPI | - | NPPES |
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