| La Pine School Based Health Center | |
|
51627 Coach Road La Pine OR 97739-7556 | |
| (541) 536-3435 | |
| (541) 536-1040 |
| Full Name | La Pine School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 51627 Coach 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 School Based Health Center Po Box 3300 La Pine OR 97739-3300 Ph: (541) 536-3435 | La Pine School Based Health Center 51627 Coach Road La Pine OR 97739-7556 Ph: (541) 536-3435 |
| NPI Number | 1063825776 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 8224187018 |
|---|---|
| Medicare Enrollment ID | O20140807001035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063825776 | NPI | - | NPPES |
| 38-1952 | Other | OR | CMS CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Steffey, Lisa Sole Member 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 | |
La Pine Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 51600 Huntington Road, Suite C, 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 |