LAKE HEALTH DISTRICT (NPI# 1669945713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669945713 |
| Entity Type | Organization |
| Organization Name | LAKE HEALTH DISTRICT |
| Practice Address |
100 N D St Ste 100 Lakeview OR 97630-1552 |
| Mailing Address |
700 S J St Lakeview OR 97630-1623 |
| Practice Telephone | 5419472114 |
| Practice Fax Number | 5419472433 |
| Mailing Telephone | 5419472114 |
| Mailing Fax Number | 5419472433 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | CHARLES BODELL TVEIT (CEO) |
| Authorized Official Telephone | 5419477307 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAKE HEALTH DISTRICT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lake County Public Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1326187261 | Lake Health District | Clinic/Center | 670 County Rd 83, Canby, CA 96015 | 2007-02-06 |
| 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 |
100 N D ST STE 100 |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891186326 | Susan Ann Mungarro | Counselor | 215 North G Street, Lakeview, OR 97630 | 2015-02-05 |
| 1699183236 | Lake Health District | Clinic/Center | 700 South J St, Lakeview, OR 97630 | 2014-07-28 |
| 1912059569 | Howards Pharmacy Inc | Pharmacy | 101 North F St, Lakeview, OR 97630 | 2007-01-16 |
| 1316056120 | Michael Sabin Dmd PC | Dentist | 733 N 1st Street, Lakeview, OR 97630 | 2006-08-29 |
| 1174586564 | Donald Frank Ott | Nurse Anesthetist, Certified Registered | 700 S J, Lakeview, OR 97630 | 2006-04-08 |
| 1760922033 | Darrel Kyniston Kyniston | Counselor | 215 North G Street, Lakeview, OR 97630 | 2017-03-06 |
| 1518376722 | Lakeview Gardens LLC | Skilled Nursing Facility | 700 South J St, Lakeview, OR 97630 | 2014-08-13 |
| 1184935876 | Matthew Christopher Foster | Family Medicine | 700 S J St, Lakeview, OR 97630 | 2010-06-28 |
| 1457407264 | Angelyn Ray | Social Worker | 100 N. D Street, Office # 208 The Marius Building, Lakeview, OR 97630-0000 | 2007-01-25 |
| 1003823790 | Mary Juree Anderson | Registered Nurse | 530 Sunset, Lakeview, OR 97630-0032 | 2006-08-02 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 261QP0905X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Public Health, State or Local |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1427196500 | Multnomah County | Clinic/Center | 5329 Ne Mlk Jr Blvd, Portland, OR 97211-3237 | 2007-02-02 |
| 1508904681 | Multnomah County | Clinic/Center | 6736 Ne Killingsworth St, Portland, OR 97218-3338 | 2007-02-02 |
| 1164451480 | County of Clatsop | Clinic/Center | 820 Exchange St, Suite 100, Astoria, OR 97103-4609 | 2006-06-30 |
| 1952302689 | County of Morrow | Clinic/Center | 120 S Main Street, Heppner, OR 97836 | 2005-08-03 |
| 1376900399 | Multnomah County | Clinic/Center | 12425 Ne Glisan St, Portland, OR 97230-2144 | 2016-01-21 |
| 1083081905 | Fred Meyer | Clinic/Center | 11565 Sw Pacific Hwy, Tigard, OR 97223-8845 | 2015-08-26 |
| 1417357443 | Multnomah County | Clinic/Center | 209 Sw 4th Ave, Portland, OR 97204-1813 | 2014-08-27 |
| 1881037281 | Public Health Foundation of Columbia County | Clinic/Center | 1005 Cougar St, Vernonia, OR 97064-1282 | 2013-04-16 |
| 1023451044 | Multnomah County | Clinic/Center | 619 Nw 6th Ave, Portland, OR 97209-3964 | 2013-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LAKE HEALTH DISTRICT.
| 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.