LA PINE COMMUNITY HEALTH CENTER (NPI# 1639316193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639316193 |
| Entity Type | Organization |
| Organization Name | LA PINE COMMUNITY HEALTH CENTER |
| Practice Address |
51600 Huntington Road Suite C La Pine OR 97739-0001 |
| Mailing Address |
Po Box 3300 La Pine OR 97739-3300 |
| Practice Telephone | 5415363435 |
| Practice Fax Number | 5415368047 |
| Mailing Telephone | 5415363435 |
| Mailing Fax Number | 5415368047 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2014-03-31 |
| Authorized Official Name | MRS. CHARLA DEHATE (CEO) |
| Authorized Official Telephone | 5415363435 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500609414 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669889341 | La Pine Community Health Center | Clinic/Center | 350 Mississippi Dr, Gilchrist, OR 97737-3243 | 2014-07-15 |
| 1063825776 | La Pine Community Health Center | Clinic/Center | 51605 Coach Road, La Pine, OR 97739-7556 | 2014-06-10 |
| 1598119075 | La Pine Community Health Center | Clinic/Center | 51340 Highway 97, La Pine, OR 97739-9871 | 2016-04-20 |
| 1821472366 | La Pine Community Health Center | Clinic/Center | 87520 Bay Road, Christmas Valley, OR 97641 | 2015-07-15 |
| 1174919674 | La Pine Community Health Center | Clinic/Center | 56881 Enterprise Dr, Sunriver, OR 97707-2120 | 2015-04-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LA PINE COMMUNITY HEALTH CENTER | 51600 Huntington Rd, La Pine, OR 97739 |
| Street Address |
51600 HUNTINGTON ROAD SUITE C |
| City | LA PINE |
| State | OR |
| Zip Code | 97739-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831459270 | Kathryn Dailey | Physical Therapist | 51600 Huntington Road, Suite B, La Pine, OR 97739-9626 | 2012-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174910897 | Hannah Noble | Occupational Therapist | 51340 Highway 97 # Or97739, La Pine, OR 97739 | 2015-04-21 |
| 1093145484 | Holly Lassen | Counselor | 51530 Huntington Rd Ste 5, La Pine, OR 97739 | 2013-11-20 |
| 1487899183 | Jennifer Ann Slater | Specialist | 16639 Box Way, Suite A, La Pine, OR 97739 | 2008-12-09 |
| 1003082652 | Jonathan Yang | Dentist | 16475 Bluewood Pl, Lapine, OR 97739 | 2008-05-05 |
| 1104943521 | Total Vision, Inc. | Technician/Technologist | 16487 Bluewood Place, Suite 2, La Pine, OR 97739 | 2007-03-22 |
| 1831243286 | Ronald Otto Nowack | Chiropractor | 16410 3rd St, Ste A, La Pine, OR 97739 | 2007-01-23 |
| 1477613313 | David Kimlin Dunscombe | Dentist | 16440 3rd Street, La Pine, OR 97739 | 2006-12-11 |
| 1740349430 | Joannie J Miller | Nurse Practitioner | 51375 S Huntington Rd, La Pine, OR 97739 | 2006-12-08 |
| 1285677575 | Brice Tyler Stanley | Physician Assistant | 5600 Huntington Rd, Lapine Community Clinic, Lapine, OR 97739 | 2006-06-14 |
| 1922072909 | High Desert Therapy Associates Inc | Hospice Care, Community Based | 51681 Huntington Road, La Pine, OR 97739 | 2006-02-15 |
| Find all providers in zip 97739 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1346850500 | Opportunity Connections, Inc. | Clinic/Center | 1102 12th St, Hood River, OR 97031-1602 | 2020-08-03 |
| 1750827184 | Elizabeth Villagrana | Clinic/Center | 32753 E Delaney St, Coburg, OR 97408-9265 | 2017-01-09 |
| 1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
| 1316268220 | Ruthie Faye Berrell | Clinic/Center | 1640 G Street, Springfield, OR 97477 | 2010-06-15 |
| 1588981096 | Joan Jackson Cavan | Clinic/Center | 86595 N Modesto Dr, Eugene, OR 97402-9045 | 2010-04-23 |
| 1376546291 | Willamette Family, Inc | Clinic/Center | 687 Cheshire Ave, Eugene, OR 97402-5060 | 2005-05-24 |
| 1124534185 | Columbiacare Services Inc | Clinic/Center | 2345 Marion St, North Bend, OR 97459-2637 | 2017-12-28 |
| 1457897548 | Lukedorf | Clinic/Center | 8915 Sw Center St, Tigard, OR 97223-6307 | 2017-01-12 |
| 1427594977 | Coast Community Health Clinic | Clinic/Center | 1010 1st St Se, Bandon, OR 97411-9301 | 2017-01-09 |
| 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.