| 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 | 106H00000X Marriage & Family Therapist |
| 122300000X Dentist | |
| 1223G0001X Dentist, General Practice | |
| 133V00000X Dietitian, Registered | |
| 175T00000X Peer Specialist | |
| 183500000X Pharmacist | |
| 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 | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2022-05-05 |