KLEAN LA PINE
NPI 1700258258
Substance Abuse Rehabilitation Facility in La Pine, OR

Q: What is La Pine Ktc, LLC's NPI number?

The NPI number for La Pine Ktc, LLC is 1700258258. It was assigned to this organization in the NPPES registry on October 23, 2015. The provider is doing business as Klean La Pine.

Q: What is La Pine Ktc, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Q: When was this NPI record last updated?

The NPPES record for La Pine Ktc, LLC was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since October 23, 2015

16161 BURGESS RD, LA PINE, OR 97739(509) 668-8008(503) 432-8913 Get Directions Write a Review

NPPES record last updated: October 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Klean La Pine NPPES

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

KLEAN LA PINE (NPI 1700258258) is a healthcare organization registered as a substance abuse rehabilitation facility in La Pine, Oregon and active in the NPI registry since October 2015. The organization lists Milton Parham, Chief Business Development Officer, as its authorized official.

NPPES Registry Identity

NPI1700258258

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameLA PINE KTC, LLC

Location Address16161 BURGESS RDLa Pine, OR 97739-9533

Mailing Address16161 Burgess RdLa Pine, OR 97739-9533 · (509) 668-8008 · Fax (503) 432-8913

Phone(509) 668-8008

Fax(503) 432-8913

Organization SubpartYesParent: White Rabbit Partners

Authorized OfficialMilton ParhamChief Business Development Officer · (509) 668-8008

Enumeration DateOctober 23, 2015

✔ NPI 1700258258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

16161 BURGESS RD, La Pine, OR 97739

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Other Names 1

Doing Business AsKlean La Pine

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 La Pine Ktc, LLC's NPI number?

The NPI number for La Pine Ktc, LLC is 1700258258. It was assigned to this organization in the NPPES registry on October 23, 2015. The provider is doing business as Klean La Pine.

Where is La Pine Ktc, LLC located?

La Pine Ktc, LLC is located at 16161 Burgess Rd, La Pine, OR 97739. The listed phone number is (509) 668-8008.

What is La Pine Ktc, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for La Pine Ktc, LLC was last updated on October 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.