| Heritage Health Children And Family Services | |
|
6795 N Mineral Dr Coeur D Alene ID 83815-8700 | |
| (208) 769-4222 | |
| (844) 803-7399 |
| Full Name | Heritage Health Children And Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 6795 N Mineral Dr, 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 |
|---|---|
| Heritage Health Children And Family Services Po Box 1387 Hayden ID 83835-1387 Ph: (208) 415-0299 | Heritage Health Children And Family Services 6795 N Mineral Dr Coeur D Alene ID 83815-8700 Ph: (208) 769-4222 |
| NPI Number | 1902392673 |
|---|---|
| Provider Enumeration Date | 07/06/2018 |
| Last Update Date | 05/08/2023 |
| Certification Date | 05/08/2023 |
| Medicare PECOS PAC ID | 2466353354 |
|---|---|
| Medicare Enrollment ID | O20191009002251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902392673 | NPI | - | NPPES |
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