Heritage Mountain Health Kellogg is a Counselor Clinic in Kellogg, Idaho. This organization is also known as sub part of Dirne Health Centers Inc. It is located at 740 Mckinley Ave, Kellogg, ID and its contact number is 087-831-2672. The authorized person for Heritage Mountain Health Kellogg is Michael Baker
who is Ceo of the clinic and their contact number is 208-620-5200. Heritage Mountain Health Kellogg Clinic A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Complete Clinic Profile:
Heritage Mountain Health Kellogg Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Heritage Mountain Health Kellogg
Specialization:
Counselor
Clinic Address:
740 Mckinley Ave, Kellogg, Idaho, 83837-2693
Phone:
087-831-2672
Fax:
844-807-3782
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Michael Baker
Position:
Ceo
Contact Number:
208-620-5200
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Heritage Mountain Health Kellogg clinic are as mentioned below.
NPI Number:
1487076048
Parent Organization:
Dirne Health Centers Inc
NPI Enumeration Date:
15 Jan, 2014
NPI Last Update On:
24 Aug, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heritage Mountain Health Kellogg are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Idaho
Primary
Counselor
Secondary
Addiction (Substance Use Disorder)
Secondary
Mental Health
Secondary
Professional
Secondary
School
Secondary
Social Worker
Secondary
Clinical
Secondary
Dentist
Secondary
Family Medicine
Secondary
Internal Medicine
Secondary
Physician Assistant
Secondary
Nurse Practitioner
Secondary
Family
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1378465
Other
Idaho
Medicare Part B Ptan 1378465
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Heritage Mountain Health Kellogg Po Box 1387, Hayden, Idaho
Zip:
83835-1387
Phone Number:
208-620-5200
Fax Number:
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Patients can reach Heritage Mountain Health Kellogg at 740 Mckinley Ave, Kellogg, Idaho or can call to book an appointment on 087-831-2672. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.