Lake District Hospital – Critical Access Hospital, NPI 1376698522

Lake District Hospital is a healthcare provider. based in Lakeview, Oregon. specializing in Critical Access Hospital. The organization holds a License No. 140896 (OR). The NPI Number for Lake District Hospital is 1376698522

Main info

Organization
Name
Lake District Hospital
NPI
1376698522
Phone
(541) 947-2114
Address
700 S J ST
Authorized Official
LANDON DYBDAL CEO
Enumeration Date
25 January 2007
Last Update Date
30 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for Lake District Hospital

  • Lake District Hospital, 700, South J Street, Lakeview, Lake County, Oregon, 97630, United States

    LAKEVIEW, OR 976301623

    Phone: (541) 947-2114

    Fax: (541) 947-2433

    Type: Location

  • 700 S J St

    Lakeview, OR 976301623

    Phone: (541) 947-2114

    Fax: (541) 947-2433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20061104000374OCritical Access HospitalORTBD
O20071003000675OCritical Access HospitalORTBD
O20250623003200OHospital Department(S)UTTBD
O20250724000524OHospital Department(S)NYTBD
O20251113003517OHospital Department(S)NMTBD
O20251129000190OClinic/Group PracticeCOTBD
O20251209001239OHospital Department(S)COTBD
O20260109001791OHospital Department(S)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97630)

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Reviews

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Frequently asked questions

How do payers reference Lake District Hospital?
For Lake District Hospital, use NPI 1376698522 as the unique 10-digit identifier.
Is Lake District Hospital shown as active in public data?
Registry records indicate Lake District Hospital maintains an active NPI.
How would a patient describe Lake District Hospital's focus?
For Lake District Hospital, the primary taxonomy reads as Critical Access Hospital. Clinical services aligned with this taxonomy classification.
What locale is associated with Lake District Hospital?
Directory geography for Lake District Hospital centers on Lakeview, Oregon.
Can I trust this NPI listing for Lake District Hospital?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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