Organization
LA PINE COMMUNITY HEALTH CENTER
Active
Other names
La Pine School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN TRAPP (CEO)
(541) 876-1837
Entity
Organization
Contact information
Practice address
51627 COACH ROAD, LA PINE, OR 97739-7556
(541) 536-3435
(541) 536-1040
Mailing address
PO BOX 3300, LA PINE, OR 97739-3300
(541) 536-3435
(541) 536-3332
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-1952
CMS CERTIFICATION NUMBER
OR
Enumeration date
06/10/2014
Last updated
09/14/2023
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