LAKE HEALTH DISTRICT NPI 1376698522

NPI Information

NPI: 1376698522
Provider Name: LAKE HEALTH DISTRICT

Doing Business As: LAKE DISTRICT HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
700 S J ST
LAKEVIEW, OR
ZIP 97630
Phone: (541) 947-2114
Get Directions

LAKE HEALTH DISTRICT is a critical access general acute care hospital in Lakeview, OR. LAKE HEALTH DISTRICT NPI is 1376698522. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake District Hospital.

The provider's business location address is:

700 S J ST
LAKEVIEW, OR
ZIP 97630-623
Phone: (541) 947-2114
Fax: (541) 947-2433

The provider's authorized official is Charles Bodell Tveit .
The authorized official title is Ceo and has the following contact phone number (541) 947-7307.

The CLIA number assigned to this NPI record is 38D0628209 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 1/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC0050X	Clinic/Center	Critical Access Hospital	140896	OREGON	No
2	314000000X	Skilled Nursing Facility		1836773096	OREGON	No
3	282NC0060X	General Acute Care Hospital	Critical Access	140896	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107532	OTHER	OREGON	MEDICAID OREGON HEALTH
2	106146	MEDICAID	OREGON
3	802595	OTHER	OREGON	MEDICAIDORE.HEALTHL.T.C.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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