| NPI | 1720564271 |
|---|---|
| Doing Business As | HERITAGE HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKER CEO 208-620-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 106H00000X Marriage & Family Therapist | |
| 122300000X Dentist | |
| 1223G0001X Dentist General Practice | |
| 133V00000X Dietitian, Registered | |
| 175T00000X Peer Specialist | |
| 183500000X Pharmacist | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2022-05-05 |