| NPI | 1285686477 |
|---|---|
| Doing Business As | HERITAGE HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER CEO 208-620-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 103TH0004X Psychologist, Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-10-08 |