| La Pine Community Health Center | |
|
51600 Huntington Road Suite C La Pine OR 97739-0001 | |
| (541) 536-3435 | |
| (541) 536-8047 |
| Full Name | La Pine Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 51600 Huntington Road, La Pine, Oregon |
| Authorized Official Name and Position | Erin Trapp (CEO) |
| Authorized Official Contact | 5418761837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Pine Community Health Center Po Box 3300 La Pine OR 97739-3300 Ph: (541) 536-3435 | La Pine Community Health Center 51600 Huntington Road Suite C La Pine OR 97739-0001 Ph: (541) 536-3435 |
| NPI Number | 1639316193 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 02/23/2023 |
| Medicare PECOS PAC ID | 8224187018 |
|---|---|
| Medicare Enrollment ID | O20090527000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639316193 | NPI | - | NPPES |
| 500609414 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
La Pine Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51627 Coach Road, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-1040 | |
Lapine Community Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51600 S Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 | |
The Studio La Pine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51470 Highway 97 Ste 5a, La Pine, OR 97739 Phone: 541-876-2100 |