LAKE HEALTH DISTRICT (NPI# 1326187261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326187261 |
| Entity Type | Organization |
| Organization Name | LAKE HEALTH DISTRICT |
| Other Organization Name | LAKE WOUND CLINIC |
| Practice Address |
670 County Rd 83 Canby CA 96015 |
| Mailing Address |
700 S J St Lakeview OR 97630-1623 |
| Practice Telephone | 5419477299 |
| Practice Fax Number | 5419473339 |
| Mailing Telephone | 5419477299 |
| Mailing Fax Number | 5419473339 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GORDON ENSLEY (CEO) |
| Authorized Official Telephone | 5419472114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 14-0896 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lake Wound Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669945713 | Lake Health District | Clinic/Center | 100 N D St Ste 100, Lakeview, OR 97630-1552 | 2019-01-10 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
| 1285062489 | Lake Health District | Clinic/Center | 535 S Main St, Alturas, CA 96101-4114 | 2013-10-24 |
| 1285789438 | Lake Health District | Long Term Care Hospital | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-25 |
| 1518012764 | Lake Health District | Hospice Care, Community Based | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-25 |
| 1992850143 | Lake Health District | Home Health | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-25 |
| 1376698522 | Lake Health District | Clinic/Center | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-25 |
| 1588719876 | Lake Health District | Pharmacy | 700 S J St, Lakeview, OR 97630-1623 | 2007-01-24 |
| Street Address |
670 COUNTY RD 83 |
| City | CANBY |
| State | CA |
| Zip Code | 96015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508007238 | Wendy Marie Richardson | Physician Assistant | 670 County Rd 83, Canby, CA 96015 | 2009-03-09 |
| 1093990236 | David Saliba | Dentist | 670 County Rd 83, Canby, CA 96015-9702 | 2008-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316327414 | Mickey Cole | Dental Hygienist | 670 County Road 83, Canby, CA 96015 | 2015-06-03 |
| 1316172034 | Joey Chou-yie Chen | Dentist | 670 County Road 83, Canby, CA 96015 | 2009-05-26 |
| 1376909770 | Sara Jeanne Marchessault | Physician Assistant | 670 County Road 83, Canby, CA 96015-0125 | 2016-01-14 |
| 1528063153 | I'sot Inc | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2005-06-20 |
| 1376164749 | Last Frontier Healthcare District | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2020-04-27 |
| 1225180649 | John Nicholas Bardonner IIi | Dentist | 670 County Road 83, Canby, CA 96015-9722 | 2007-01-17 |
| 1760473706 | Susan Adele Burger | Dental Hygienist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-31 |
| 1053301689 | Lorna K Boland | Registered Nurse | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1467442079 | Virginia L Hassler | Nurse Practitioner | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1841280435 | Raymond P Mandel | Psychologist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| Find all providers in zip 96015 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164749 | Last Frontier Healthcare District | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2020-04-27 |
| 1245567817 | Providence Health & Services - Oregon | Clinic/Center | 200 S Hazel Dell Way, Canby, OR 97013-7829 | 2009-11-03 |
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| 1639786189 | Rams Ppe | Clinic/Center | 15329 Bonanza Rd Ste D, Victorville, CA 92392-2457 | 2020-09-29 |
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| 1902410442 | Hope Elementary School District | Clinic/Center | 3970 La Colina Rd Ste 14, Santa Barbara, CA 93110-1596 | 2020-09-02 |
| 1558974097 | Jiseki Health Inc | Clinic/Center | 1150 S King Rd Ste 40, San Jose, CA 95122-2140 | 2020-08-25 |
| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.