institution
La Pine Community Health Center
Federally Qualified Health Center (FQHC) in La Pine, Oregon
NPI 1063825776

La Pine Community Health Center is a Federally Qualified Health Center (FQHC) based in La Pine, OR and is specialized in Federally Qualified Health Center (FQHC). La Pine Community Health Center practices in La Pine, OR. The NPI Number for La Pine Community Health Center is 1063825776 and holds a License No. (Oregon).

The current practice location address for La Pine Community Health Center is 51627 Coach Road, La Pine, OR and can be reached out via phone at 541-536-3435 and via fax at 541-536-1040.

Location: 51627 Coach Road, La Pine, OR, 97739-3300
institution
Provider Profile Details
NPI Number
1063825776
Provider Name
La Pine Community Health Center
Credential
Provider Entity Type
Organization
Address
51627 Coach Road, La Pine, OR, 97739-3300
Phone Number
541-536-3435
Fax Number
541-536-1040
Provider Enumeration Date
06/10/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
38-1952 01 OR CMS CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
51627 Coach Road
City
State
Zip
97739-7556
Phone Number
541-536-3435
Fax Number
541-536-1040
person
Provider Business Mailing Address Details
Address
51627 Coach Road
City
State
Zip
97739-7556
Phone Number
541-536-3435
Fax Number
541-536-1040
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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