| Organization Name: | LAPINE COMMUNITY CLINIC, LLC |
| NPI Number: | 1083665681 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHANCE TODD STEFFEY (CLINIC DIRECTOR) |
| Mailing Address: | 51600 S Huntington Rd La Pine |
| State: | OR US |
| Postal Code: | 977399626 |
| Phone Number: | 5415363435 |
| Fax Number: | 5415368047 |
| NPI Enumeration Date: | 05/16/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |