| Heritage Health | |
|
1090 W Park Place Coeur D Alene ID 83814-2480 | |
| (208) 215-2005 | |
| (844) 807-3782 |
| Full Name | Heritage Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1090 W Park Place, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Michael Baker (CEO) |
| Authorized Official Contact | 2086205200 |
| 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) 620-5200 | Heritage Health 1090 W Park Place Coeur D Alene ID 83814-2480 Ph: (208) 215-2005 |
| NPI Number | 1285686477 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 10/08/2020 |
| Certification Date | 10/08/2020 |
| Medicare PECOS PAC ID | 2466353354 |
|---|---|
| Medicare Enrollment ID | O20040415001152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285686477 | NPI | - | NPPES |
| DD0229 | Other | ID | RAILROAD MEDICARE |
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