# LAKE DISTRICT HOSPITAL PHYSICIANS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Health District
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932479201
- **Authorized official:** KENNETH LANDAU (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (541) 947-7285

## Contact information

- **Practice address:** 700 S J ST, LAKEVIEW, OR 97630-1623
- **Practice address phone:** (541) 947-2114
- **Practice address fax:** (541) 947-4507
- **Mailing address:** 700 S J ST, LAKEVIEW, OR 97630-1623
- **Mailing address phone:** (541) 947-2114
- **Mailing address fax:** (541) 947-4507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 140896 | OR | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 06/15/2012