LANE COMMUNITY COLLEGE (NPI# 1457764920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457764920 |
| Entity Type | Organization |
| Organization Name | LANE COMMUNITY COLLEGE |
| Practice Address |
4000 E 30th Ave Eugene OR 97405-0640 |
| Mailing Address |
Po Box 2847 Eugene OR 97402-0327 |
| Practice Telephone | 5414633000 |
| Mailing Telephone | 5418172901 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | SHARON HAGAN (DIRECTOR) |
| Authorized Official Telephone | 5412284013 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
H2305 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LANE COMMUNITY COLLEGE | 4000 E 30th Ave, Eugene, OR 97405-0640 |
| Oregon Corporations, Companies and Business Names | LANE COMMUNITY COLLEGE EMPLOYEE FEDERATION | 4000 E 30th Ave, Eugene, OR 97405 |
| Oregon Corporations, Companies and Business Names | LANE COMMUNITY COLLEGE FOUNDATION | 4000 E 30th Ave, Eugene, OR 97405 |
| Oregon Corporations, Companies and Business Names | LANE COMMUNITY COLLEGE TITAN STORE | 4000 East 30th Avenue, Center Building, Eugene, OR 97405 |
| Street Address |
4000 E 30TH AVE |
| City | EUGENE |
| State | OR |
| Zip Code | 97405-0640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295856532 | Harry Ernest Vandervort IIi | Nurse Practitioner | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2007-04-03 |
| 1609481654 | Justin Styles | Nurse Practitioner | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2020-09-15 |
| 1245642776 | Vicki Johnstone-dodge | Dental Hygienist | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2014-06-02 |
| 1669709812 | Jack Benjamin Dunham Jr. | Dentist | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2009-11-09 |
| 1336337245 | Laura Kristin Greene | Nurse Practitioner | 4000 E 30th Ave, Eugene, OR 97405-0640 | 2007-10-05 |
| 1497970891 | Lane Community College Health Clinic | Clinic/Center | 4000 E 30th Ave, Eugene, OR 97405 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985337 | Elizabeth Reed | Doula | 28192 Briggs Hill Rd, ., Eugene, OR 97405 | 2019-11-01 |
| 1235625450 | Kim Lynette Lesh | Counselor | 2434 Jacobs Lane, Eugene, OR 97405 | 2018-07-11 |
| 1841711884 | Mary Fiedler | Massage Therapist | 1924 Jackson Street, Eugene, OR 97405 | 2017-06-29 |
| 1235672478 | Icco LLC | Clinic/Center | 2710 Willamette Street, Eugene, OR 97405 | 2016-11-21 |
| 1033566633 | Andrea Armstrong | Counselor | 3575 Donald St Ste 130, Eugene, OR 97405 | 2016-05-24 |
| 1801265061 | Alani Stuart | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1992174155 | Lorena Cortes Cervantes | Counselor | 3411-a Willamette Street, Eugene, OR 97405 | 2015-09-17 |
| 1346626926 | Susan White | Speech-Language Pathologist | 3500 Hilyard St., Eugene, OR 97405 | 2015-08-05 |
| 1366826042 | Sherion Fulton | Counselor | 2852 Willamette #278, Eugene, OR 97405 | 2015-07-13 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| Find all providers in zip 97405 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063917979 | Elford Mckim LLC | Clinic/Center | 1045 Willagillespie Rd Ste 125, Eugene, OR 97401-6799 | 2018-03-25 |
| 1003339466 | Carly M. Peterschmidt, Dmd, LLC | Clinic/Center | 622 E 22nd Avenue, Suite A, Eugene, OR 97408 | 2017-07-18 |
| 1003228511 | Robert G. Whicker, Dds, PC | Clinic/Center | 4725 Village Plaza Loop Ste 101, Eugene, OR 97401-6677 | 2014-06-02 |
| 1043858780 | Valley River Family Dental PC | Clinic/Center | 1400 Executive Pkwy Ste 310, Eugene, OR 97401-7102 | 2019-12-12 |
| 1821477696 | White Bird Mobile Dental | Clinic/Center | 1400 Mill St, Eugene, OR 97401-4259 | 2015-05-26 |
| 1669895132 | Butler Family Dental, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2014-02-03 |
| 1467893347 | George A. Mccully Dmd PC | Clinic/Center | 622 E 22nd Ave, Suite B, Eugene, OR 97405-2989 | 2013-07-09 |
| 1356698260 | Thomas E. Houston, Dmd, PC | Clinic/Center | 1745 W 17th Ave, Eugene, OR 97402-3618 | 2012-08-09 |
| 1174889026 | Amy R. Mcdaniel, Dmd, PC | Clinic/Center | 2233 Willamette St, Suite A, Eugene, OR 97405-2890 | 2012-04-04 |
| 1295001998 | William B Sproul, D.m.d., P.C. | Clinic/Center | 51 Santa Clara Ave, Eugene, OR 97404-2077 | 2012-03-27 |
| Find all providers in EUGENE | ||||
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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.