Lake Health District
Organization Active NPI Home Health Agency · Lakeview, OR
NPI 1992850143 · NPPES record last updated Apr 3, 2008
Key facts
- NPI
- 1992850143
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 13140896 (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
Authorized official
- Name
- Mr. Gordon Ensley
- Title
- Ceo
- Phone
- (541) 947-2114
Corporate family (same tax ID) 7
Practitioners 11
-
Robert W Bomengen, M.D.
-
Spencer A. Clarke, M.D.
-
Rosanne Fitzgerald, FNP-BC
-
Timothy A Gallagher, M.D.
-
Stephen A Hussey, M.D.
-
Kristofer R McAllister, PA-C
-
Kathleen J. Thompson, PA-C
National Provider Directory
- Tax ID family
- Lake District Hospital
Locations
593 NE Azure Dr
Ste 4
Bend, OR 97701
Phone (541) 306-3483
2850 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 274-8610
1250 S 9th St
Lakeview, OR 97630
Phone (541) 947-2114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 13140896 | OR | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802595 | Other | OR | MEDICAID ORE.HEALTHL.T.C. |
| 107532 | Other | OR | MEDICAID OREGON HEALTH |
Other names
- Lakeview Home Health Care
Other providers in Lakeview, OR
- Lake Health District
- Lake Health District
- Lake Health District
- Lake Health District
- Lake Health District
- Lakeview Disaster Unit, Inc.
- Lakeview Gardens LLC
- Lakeview Vision Center, LLC
- Patricia Ruth Leehmann
- Jamie Renee Lewis
All providers in Lakeview, OR · Home Health Agency in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2008. 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.