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

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
La Pine Community Health Center (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2026.

{
    "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

All providers in La Pine, OR · Radiology Clinic/Center in Oregon

Sources for this page

Verify at the official NPI Registry.