| Lake Health District | |
|
700 South J St Lakeview OR 97630 | |
| (541) 947-2114 | |
| Not Available |
| Full Name | Lake Health District |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 South J St, Lakeview, Oregon |
| Authorized Official Name and Position | Charles Bodell Tveit (CEO) |
| Authorized Official Contact | 5419477307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Health District 700 South J St Lakeview OR 97630 Ph: (541) 947-2114 | Lake Health District 700 South J St Lakeview OR 97630 Ph: (541) 947-2114 |
| NPI Number | 1699183236 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 01/21/2021 |
| Medicare PECOS PAC ID | 4284629221 |
|---|---|
| Medicare Enrollment ID | O20140812002506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699183236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Charles S. Graham, D.o., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 S J St, Lakeview, OR 97630 Phone: 541-947-2331 Fax: 541-947-4854 | |
Mae Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 N 1st St, Lakeview, OR 97630 Phone: 541-600-2535 | |
Lake Health District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N D St Ste 100, Lakeview, OR 97630 Phone: 541-947-2114 Fax: 541-947-2433 | |
Lake County Medical Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 |