Organization
LA PINE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE MANES (CEO)
(541) 536-3435
Entity
Organization
Contact information
Practice address
51600 HUNTINGTON RD # 101, LA PINE, OR 97739-8887
(541) 536-3435
(541) 536-8047
Mailing address
51600 HUNTINGTON RD # 101, LA PINE, OR 97739-8887
(541) 536-3435
(541) 536-8047
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500609414
—
OR
Enumeration date
01/20/2009
Last updated
08/13/2026
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