Lake Health District

A Medicare group practice based in Lakeview, OR: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 4284629221), with 82 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284629221The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Hospital Department(S)
Enrolled in
CA, CO, NM, NY, OR, UT
Enrollments
10
Group size
56 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
14In 9 places

Enrollment records 10

Enrollment IDStateProvider typeNPI
O20040419000549 OR Part B Supplier - Clinic/Group Practice 1376698522
O20071003000675 OR Part A Provider - Critical Access Hospital 1376698522
O20061104000374 OR Part A Provider - Critical Access Hospital 1376698522
O20140812002506 OR Part A Provider - Rural Health Clinic 1699183236
O20250623003200 UT Part B Supplier - Hospital Department(S) 1376698522
O20250724000524 NY Part B Supplier - Hospital Department(S) 1376698522
O20251113003517 NM Part B Supplier - Hospital Department(S) 1376698522
O20260109001791 CA Part B Supplier - Hospital Department(S) 1376698522
O20251129000190 CO Part B Supplier - Clinic/Group Practice 1376698522
O20251209001239 CO Part B Supplier - Hospital Department(S) 1376698522

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 82

Clinicians who reassign their Medicare benefits to this group (82) or whom Care Compare lists as members (56).

Sources for this page