Heritage Health | |
16760 N Highway 41 Rathdrum ID 83858-8715 | |
(208) 687-5627 | |
(844) 807-3782 |
Full Name | Heritage Health |
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Speciality | Clinic/Center |
Location | 16760 N Highway 41, Rathdrum, 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 |
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Heritage Health Po Box 1387 Hayden ID 83835-1387 Ph: (208) 620-5200 | Heritage Health 16760 N Highway 41 Rathdrum ID 83858-8715 Ph: (208) 687-5627 |
NPI Number | 1760736334 |
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Provider Enumeration Date | 11/05/2012 |
Last Update Date | 08/20/2019 |
Medicare PECOS PAC ID | 2466353354 |
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Medicare Enrollment ID | O20130205000173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760736334 | NPI | - | NPPES |
6688460002 | Other | ID | DMERC PTAN NUMBER |
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