LA PINE COMMUNITY HEALTH CENTER NPI 1063825776

NPI Information

NPI: 1063825776
Provider Name: LA PINE COMMUNITY HEALTH CENTER

Doing Business As: LA PINE SCHOOL BASED HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
51627 COACH ROAD
LA PINE, OR
ZIP 97739
Phone: (541) 536-3435
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LA PINE COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in La Pine, OR. LA PINE COMMUNITY HEALTH CENTER NPI is 1063825776. The provider is registered as an organization entity type.
The provider Is Doing Business As La Pine School Based Health Center.

The provider's business location address is:

51627 COACH ROAD
LA PINE, OR
ZIP 97739-556
Phone: (541) 536-3435
Fax: (541) 536-1040

The provider's authorized official is Erin Trapp .
The authorized official title is Ceo and has the following contact phone number (541) 876-1837.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 9/14/2023.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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	38-1952	OTHER	OREGON	CMS CERTIFICATION NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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