La Pine Community Health Center
Organization Active NPI Radiology Clinic/Center · La Pine, OR
NPI 1225865876 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1225865876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- LA PINE COMMUNITY HEALTH CENTER
- Practice address
- 51615 Bluewood Ave Ste 120
La Pine, OR 97739-9211 - Phone
- (541) 536-3435
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Marie Manes
- Title
- Ceo
- Phone
- (541) 536-3435
Corporate family (same tax ID) 4
Practitioners 12
-
Rebecca M Brewer, PA-C
-
Janice Cody, FNP
-
Sarah Grosse, APRN
-
Tyson Lee Langeliers, PA -C, ATC, LAT
-
Rio Lion, D.O
-
Patrick J. McCarthy, M.D.
-
Joe T McCook, MD
-
Adaobi Okonkwo, MD
-
Zoe Pearlman, PA-C
-
Sarah Danielle Sperry, PA-C
-
Cari Nicole Welch, LPC
National Provider Directory
- Tax ID family
- La Pine Community Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Yes | ||
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
51615 Bluewood Ave Ste 120
La Pine, OR 97739-9211
Mailing address
51600 Huntington Rd # 101
La Pine, OR 97739-8887
Phone (541) 536-3435
Other practice location 1
51600 Huntington Rd
LA Pine, OR 97739-8887
Phone (541) 536-3435
NPI Registry JSON
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1225865876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51600 HUNTINGTON RD # 101",
"city": "LA PINE",
"state": "OR",
"postal_code": "977398887",
"telephone_number": "541-536-3435",
"fax_number": "541-536-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51615 BLUEWOOD AVE STE 120",
"city": "LA PINE",
"state": "OR",
"postal_code": "977399211",
"telephone_number": "541-536-3435"
}
],
"practiceLocations": [
{
"address_1": "51600 Huntington Rd",
"address_purpose": "LOCATION",
"city": "LA Pine",
"state": "OR",
"postal_code": "977398887",
"country_code": "US",
"telephone_number": "541-536-3435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LA PINE COMMUNITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "MANES",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "541-536-3435"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Pine, OR
- Danielle Krause
- Paul Krystkowiak
- Patricia Marian Kuratek
- La Pine Alf, LLC
- La Pine Community Health Center
- La Pine Community Health Center
- La Pine Community Health Center
- La Pine Community Health Center
- La Pine KTC, LLC
- La Pine Rural Fire Protection District
All providers in La Pine, OR · Radiology Clinic/Center in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.