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 |