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Organization
LAKE HEALTH DISTRICT
Active
Organization
LAKE HEALTH DISTRICT
Active
Other names
Lake District Hospital and Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BODELL TVEIT (CEO)
(541) 947-7307
Entity
Organization
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-2433
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
(541) 947-2433
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
1836773096
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107532
MEDICAID OREGON HEALTH
OR
01
—
802595
MEDICAID ORE HEALTH L.T.C
OR
Enumeration date
01/25/2007
Last updated
01/21/2021
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