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General NPI Number Information
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NPI Number | 1851244024
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Entity Type | Organization
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Legal Business Name | DIRNE HEALTH CENTERS INC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 700 W IRONWOOD DR STE 155
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4462
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Country | US
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Telephone | 208-667-0585
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1387
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City | HAYDEN
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State | ID
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Zip | 83835-1387
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Country | US
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Telephone | 208-415-0299
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Fax | 208-625-2070
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | KRISTINA SVERDSTEN
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Credential |
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Telephone | 208-415-0299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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