Lake County Public Health

LBN: County Of Lake
Lake County Public Health is an health care organization with primary practice located at 100 N D St Suite 100, Lakeview OR 97630-1540. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Agencies / Case Management, Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, Ambulatory Health Care Facilities / Public Health, State or Local. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty. County Of Lake can be contacted via phone (541) 947-6045, or through Wilkie, Mary L via phone (541) 947-6045.

Contact Information

Primary practice address
100 N D St Suite 100 Lakeview OR 97630-1540
Phone: (541) 947-6045
Fax: (541) 947-4563
Website:
Map and Directions
Authorized official contact:
Name: Wilkie, Mary L RN, BSN
Phone: (541) 947-6045

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X Oregon
Agencies / Case Management 251B00000X 93-60023202 Oregon
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X Oregon
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X Oregon

Profile Details

NPI number 1376646380
LBN Legal business name County Of Lake
DBA Doing business as Lake County Public Health
Authorized official Wilkie, Mary L RN, BSN
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376646380 NPPES
Oregon Other 01358700 BLUE CROSS PROVIDER NUMBE
Oregon Other 320989 BLUE CROSS PROVIDER NUMBE
Oregon Other 097360 BLUE CROSS PROVIDER NUMBE
Oregon Other 320989 BLUE CROSS PROVIDER NUMBE

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