LAKE HEALTH DISTRICT (NPI# 1285789438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285789438 |
| Entity Type | Organization |
| Organization Name | LAKE HEALTH DISTRICT |
| Other Organization Name | LAKE DISTRICT HOSPITAL AND LONG TERM CARE |
| Practice 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 | 2007-01-25 |
| Last Update Date | 2008-04-03 |
| Authorized Official Name | MR. GORDON CLARK (CEO) |
| Authorized Official Telephone | 5419472114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 1836773096 | OR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICAID ORE HEALTH L.T.C | 802595 | 01 |
| OR | MEDICAID OREGON HEALTH | 107532 | 01 |
| Other Name | Type Code |
|---|---|
| Lake District Hospital and Long Term Care | 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 |
| 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 |
| 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 |
700 S J ST |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399695 | Lake Health District | Medicare Defined Swing Bed Unit | 700 S J St, Lakeview, OR 97630-1623 | 2005-07-13 |
| 1942815071 | Amron L Lym | Physical Therapist | 700 S J St, Lakeview, OR 97630-1623 | 2020-09-15 |
| 1538774062 | Jedediah James Adams | Physical Therapist | 700 S J St, Lakeview, OR 97630-1623 | 2020-09-11 |
| 1649889148 | Mesa Greenfield | Registered Nurse | 700 S J St, Lakeview, OR 97630-1623 | 2020-07-30 |
| 1821615584 | Joseph D Hermann | Social Worker | 700 S J St, Lakeview, OR 97630-1623 | 2020-06-29 |
| 1063075406 | Julia Snedigar | Speech-Language Pathologist | 700 S J St, Lakeview, OR 97630-1623 | 2019-04-22 |
| 1003238668 | Ellen Edith Mouser | Nurse Practitioner | 700 S J St, Lakeview, OR 97630-1623 | 2014-01-15 |
| 1821428442 | Erin Danielle Steward | Physician Assistant | 700 S J St, Lakeview, OR 97630-1623 | 2013-11-18 |
| 1871840868 | Rosanne Fitzgerald | Nurse Practitioner | 700 S J St, Lake Health Clinic, Lakeview, OR 97630-1623 | 2012-08-08 |
| 1932479201 | Lake District Hospital Physicians Group | General Acute Care Hospital | 700 S J St, Lakeview, OR 97630-1623 | 2012-01-04 |
| Find all providers in the same location | ||||
| 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 |
| 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 |
| 1225232663 | Barbara Joanne Vandenberg | Counselor | Po Box 948, Lakeview, OR 97630-0037 | 2007-06-11 |
| Find all providers in zip 97630 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437508686 | Jodi Lane | Long Term Care Hospital | 2600 Se 170th Ave, Portland, OR 97236-1213 | 2016-06-08 |
| 1689926743 | Columbia Lutheran Charities | Long Term Care Hospital | 2111 Exchange St, Astoria, OR 97103-3329 | 2012-10-12 |
| 1558436006 | Vibra Specialty Hospital of Portland LLC | Long Term Care Hospital | 10300 Ne Hancock St, Portland, OR 97220-3831 | 2006-11-21 |
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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.