LAKE DISTRICT HEALTH (NPI# 1346754462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346754462 |
| Entity Type | Organization |
| Organization Name | LAKE DISTRICT HEALTH |
| Other Organization Name | N/A |
| Practice Address |
215 N G St Lakeview OR 97630-1417 |
| Practice Telephone | 5479476021 |
| Mailing Telephone | 5479476021 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Authorized Official Name | MRS. NICOLE HALL LARSEN (QMHA) |
| Authorized Official Telephone | 5419476021 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | OR | Agencies |
| Other Name | Type Code |
|---|---|
| N/A | Other Name - Individual/Organization |
| Street Address |
215 N G ST |
| City | LAKEVIEW |
| State | OR |
| Zip Code | 97630-1417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497116974 | Jennifer Pore | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2016-03-11 |
| 1659844942 | Jacqueline Danielle Schuler | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2019-01-09 |
| 1760957880 | Lori M. Hillard | Social Worker | 215 N G St, Lakeview, OR 97630-1417 | 2018-10-04 |
| 1073093167 | Jackie D Mcdougle | Case Manager/Care Coordinator | 215 N G St, Lakeview, OR 97630-1417 | 2018-08-17 |
| 1659878130 | Stuart Bryan Stewart | Peer Specialist | 215 N G St, Lakeview, OR 97630-1417 | 2018-04-10 |
| 1396248613 | Christine Newton | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2018-03-13 |
| 1417479304 | Patrick P Hornberger | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2017-07-12 |
| 1053841437 | Alina M Sharp | Case Manager/Care Coordinator | 215 N G St, Lakeview, OR 97630-1417 | 2017-06-18 |
| 1700338266 | Jane Lincoln | Social Worker | 215 N G St, Lakeview, OR 97630-1417 | 2016-11-01 |
| 1437607025 | Kylie Thomas | Counselor | 215 N G St, Lakeview, OR 97630-1417 | 2016-09-13 |
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| 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 |
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| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376646380 | County of Lake | Case Management | 100 N D St, Suite 100, Lakeview, OR 97630-1540 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1972149938 | Vici Health, LLC | Case Management | 282 Sw Mt St Helens St, Mcminnville, OR 97128-5590 | 2019-11-25 |
| 1124689823 | Ark Management Corporation | Case Management | 3201 Ne Wynooski Rd Ste A2, Newberg, OR 97132-7196 | 2019-06-24 |
| 1063902047 | Mara Isbell | Case Management | 990 Nw Brooks St Ste 1, Bend, OR 97703-2033 | 2018-05-15 |
| 1689162976 | Corvallis Homeless Shelter Coalition | Case Management | 2311 Nw Van Buren Ave Apt 5, Corvallis, OR 97330-5393 | 2018-04-23 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1275982951 | Community Action Program of East Central Oregon | Case Management | 721 Se 3rd St Ste D, Pendleton, OR 97801-3060 | 2016-06-03 |
| 1386091569 | Redemption Ridge | Case Management | 503 Airport Rd Ste 103, Medford, OR 97504-4159 | 2016-05-18 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1821456328 | Seasons of Care | Case Management | 2920 Ne Conners Ave, Bend, OR 97701-7940 | 2016-01-29 |
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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.