LA PINE COMMUNITY HEALTH CENTER
NPI 1063825776
Clinic/Center - Federally Qualified Health Center (FQHC) in La Pine, OR
About La Pine Community Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LA PINE COMMUNITY HEALTH CENTER (NPI 1063825776), doing business as La Pine School Based Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in La Pine, Oregon and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Marie Manes, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
La Pine Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to La Pine Community Health Center, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 9
Clinicians, nearest first (19)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D1003910
La Pine Community Health Center · La Pine, ORFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is La Pine Community Health Center's NPI number?
The NPI number for La Pine Community Health Center is 1063825776. It was assigned to this organization in the NPPES registry on June 10, 2014. The provider is doing business as La Pine School Based Health Center.
Where is La Pine Community Health Center located?
La Pine Community Health Center is located at 51627 Coach Road, La Pine, OR 97739. The listed phone number is (541) 536-3435.
What is La Pine Community Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is La Pine Community Health Center enrolled in Medicare?
Yes. La Pine Community Health Center is registered in the Medicare PECOS enrollment system.
When is La Pine Community Health Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through La Pine Community Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 9 Medicare specialties reassign their Medicare billing to La Pine Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5), Nurse Practitioner (4) and Clinical Social Worker (3). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does La Pine Community Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D1003910) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does La Pine Community Health Center accept?
Health plans from Moda Health Plan, Inc. and Providence Health Plan list La Pine Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for La Pine Community Health Center was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# La Pine Community Health Center · NPI 1063825776
Federally Qualified Health Center (FQHC) organization in La Pine, Oregon. Organization record, active in the CMS NPPES registry since June 10, 2014.
## Identity
- **NPI:** 1063825776 (Entity type: Organization)
- **Enumerated:** June 10, 2014
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** La Pine School Based Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Marie Manes, CEO
## Practice location
- **Address:** 51627 COACH ROAD, La Pine, OR 97739-7556
- **Phone:** (541) 536-3435 · **Fax:** (541) 536-1040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Oregon, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 19 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Nurse Practitioner (4), Clinical Social Worker (3); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2026
- **Other identifiers:** Other 38-1952 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063825776) · Data from the CMS NPPES public registry.