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LAKE COUNTY PUBLIC HEALTH
NPI 1376646380
Clinic/Center - Public Health, State or Local in Lakeview, OR

Active since September 06, 2006CLIA 38D0664024 · Waiver
100 N D ST, SUITE 100, LAKEVIEW, OR 97630(541) 947-6045(541) 947-4563 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 21, 2018 (2 updates tracked since 2018).

About Lake County Public Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE COUNTY PUBLIC HEALTH (NPI 1376646380) is a healthcare organization registered as a public health, state or local in Lakeview, Oregon and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 5, 2026 and lists Mary L Wilkie, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376646380
Entity TypeOrganization
Primary Taxonomy261QP0905X
Legal Business NameCOUNTY OF LAKE
Location Address100 N D ST, SUITE 100Lakeview, OR 97630-1540
Mailing Address100 N D St, Suite 100Lakeview, OR 97630-1540 · (541) 947-6045 · Fax (541) 947-4563
Phone(541) 947-6045
Fax(541) 947-4563
Organization SubpartNo
Authorized OfficialMary L WilkieAdministrator · (541) 947-6045
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1376646380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Public Health, State or LocalAmbulatory Health Care Facilities
Taxonomy Code261QP0905X
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X
Also ListedCase ManagementTaxonomy 251B00000X · License 93-60023202 (OR)
Also ListedClinic/Center · Ambulatory Family Planning FacilityTaxonomy 261QA0005X
100 N D ST, Lakeview, OR 97630
Open in Google Maps ↗

Other Names 1

Doing Business AsLake County Public Health

Other Identifiers 4

Other320989OR · Omap Family Planning Pin
Other01358700OR · Blue Cross Provider Numbe
Other097360OR · Omap Pin
Other320989OR · Omap Providers

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 38D0664024

Lake County Public Health Lab · Lakeview, OR
Active · expires Sep 5, 2026
CLIA Number38D0664024
Laboratory TypeOther
Certificate Effective DateSeptember 6, 2024
Certificate Expiration DateSeptember 5, 2026
Laboratory DirectorSpencer Clark MD
Laboratory Phone(541) 947-6045
Laboratory LocationLake County Public Health Lab100 North D Sreet Suite 100, Lakeview, OR 97630
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHAYANNA QUINCEY MCLAIN
Case Manager/Care Coordinator
100 N D ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
BRANDI WEATHERMAN
Case Manager/Care Coordinator
100 N D ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021
LEIANN JANE MARSHALL CASE MANAGER
Case Manager/Care Coordinator
100 N D ST
LAKEVIEW, OR 97630
Lake County (541) 947-6021

Frequently 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 County Of Lake's NPI number?

The NPI number for County Of Lake is 1376646380. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Lake County Public Health.

Where is County Of Lake located?

County Of Lake is located at 100 N D St Suite 100, Lakeview, OR 97630. The listed phone number is (541) 947-6045.

What is County Of Lake's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Public Health, State or Local, with taxonomy code 261QP0905X.

Does County Of Lake hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0664024) is associated with this NPI, valid through September 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Lake was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.