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Contact Information

LAKE HEALTH DISTRICT
700 S J ST
LAKEVIEW, OR97630-1623
 Phone: 541-947-2114
 Fax: 541-947-2433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Access

282NC0060X A0[7] Critical Access Hospital
 

Critical Access Hospital

261QC0050X
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LAKE HEALTH DISTRICT

NPI # 1376698522
LBN Legal business name LAKE HEALTH DISTRICT
Authorized official LANDON DYBDAL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 01/30/2025 - More than a year ago
Identifiers
OR License # 140896
OR License # 1836773096
OR Medicaid 106146
OR Other 107532 MEDICAID OREGON HEALTH
OR Other 802595 MEDICAIDORE.HEALTHL.T.C.
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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