NPIMap

Organization Active NPI

Lake Health District

  • Long Term Care Hospital
  • Lakeview, OR
National Provider Identifier
1285789438
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
1836773096 Issued in OR
Legal business name
LAKE HEALTH DISTRICT
Practice address
700 S J St
Lakeview, OR 97630-1623
Phone
(541) 947-2114
Fax
(541) 947-2433
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Charles Bodell Tveit
Title
Ceo
Phone
(541) 947-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 1836773096 OR Primary

Addresses

Primary practice location

700 S J St
Lakeview, OR 97630-1623

Mailing address

700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-2114

Other identifiers 2

IdentifierTypeStateIssuer
107532OtherORMEDICAID OREGON HEALTH
802595OtherORMEDICAID ORE HEALTH L.T.C

Other names 1

  • Lake District Hospital and Long Term Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lake District Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1285789438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S J ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301623",
            "telephone_number": "541-947-2114",
            "fax_number": "541-947-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S J ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301623",
            "telephone_number": "541-947-2114",
            "fax_number": "541-947-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "TVEIT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BODELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-947-7307"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OR",
            "license": "1836773096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OREGON HEALTH",
            "identifier": "107532",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ORE HEALTH L.T.C",
            "identifier": "802595",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake District Hospital and Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lake District Hospital and Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.