National Provider Identifier Database

LAKE HEALTH DISTRICT
Critical Access


Contact Information

LAKE HEALTH DISTRICT
700 S J ST
LAKEVIEW, OR97630-1623
Phone: 541-947-2114
Fax: 541-947-2433
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Critical Access Hospital 261QC0050X
Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for LAKE HEALTH DISTRICT

NPI Number 1376698522
Legal business name
LBN
LAKE HEALTH DISTRICT
Authorized official LANDON DYBDAL - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/25/2007
Last updated 01/30/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: 140896
  • OR License #: 1836773096
  • OR Medicaid: 106146
  • OR Other: 107532 MEDICAID OREGON HEALTH
  • OR Other: 802595 MEDICAIDORE.HEALTHL.T.C.

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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