Organization Active NPI

The Family Health Clinic of Lapine

  • Family Nurse Practitioner
  • La Pine, OR
National Provider Identifier
1013030444
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE FAMILY HEALTH CLINIC OF LAPINE
Practice address
16480 William Foss Rd
La Pine, OR 97739-9486
Phone
(541) 536-8012
Fax
(541) 536-9873
NPI assigned
Apr 9, 2007
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda J MolinaNPI 1215919436
Title
President
Phone
(541) 536-8012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

16480 William Foss Rd
La Pine, OR 97739-9486

Mailing address

PO Box 126
La Pine, OR 97739-0126
Phone (541) 536-8012

National Provider Directory

National Provider Directory

Locations

16480 William Foss Rd
La Pine, OR 97739
Phone (541) 536-8012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1013030444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977390126",
            "telephone_number": "541-536-8012",
            "fax_number": "541-536-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16480 WILLIAM FOSS RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977399486",
            "telephone_number": "541-536-8012",
            "fax_number": "541-536-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY HEALTH CLINIC OF LAPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-536-8012"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Pine, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.