Lake Health District
Organization Active NPI Clinic/Center · Canby, CA
NPI 1326187261 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1326187261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 14-0896 (OR)
- Legal business name
- LAKE HEALTH DISTRICT
- Practice address
- 670 County Rd 83
Canby, CA 96015 - Phone
- (541) 947-7299
- Fax
- (541) 947-3339
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Gordon Ensley
- Title
- Ceo
- Phone
- (541) 947-2114
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Lake District Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 14-0896 | OR | Yes |
Addresses
Primary practice location
670 County Rd 83
Canby, CA 96015
Mailing address
700 S J St
Lakeview, OR 97630-1623
Phone (541) 947-7299
Other names
- Lake Wound Clinic
Other providers in Canby, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.