Organization Active NPI

Lapine Community Clinic, LLC

  • Rural Health Clinic/Center
  • La Pine, OR
National Provider Identifier
1083665681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LAPINE COMMUNITY CLINIC, LLC
Practice address
51600 S Huntington Rd
La Pine, OR 97739-9626
Phone
(541) 536-3435
Fax
(541) 536-8047
NPI assigned
May 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Chance Todd Steffey
Title
Clinic Director
Phone
(541) 536-3435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

51600 S Huntington Rd
La Pine, OR 97739-9626

Mailing address

PO Box 3300
La Pine, OR 97739-3300
Phone (541) 536-3435

Other identifiers 1

IdentifierTypeStateIssuer
227605MedicaidOR

Other names 1

  • Steffey, Lisa Sole Member Other name

National Provider Directory

National Provider Directory

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083665681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3300",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977393300",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 S HUNTINGTON RD",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977399626",
            "telephone_number": "541-536-3435",
            "fax_number": "541-536-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAPINE COMMUNITY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEFFEY",
        "authorized_official_first_name": "CHANCE",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "541-536-3435"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227605",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steffey, Lisa Sole Member",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.