COUNTY OF LINCOLN NPI 1205161007

NPI Information

NPI: 1205161007
Provider Name: COUNTY OF LINCOLN

Doing Business As: LINCOLN COMMUNITY HEALTH CENTER - LINCOLN CITY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4422 NE DEVILS LAKE BLVD STE 2
LINCOLN CITY, OR
ZIP 97367
Phone: (541) 265-4947
Get Directions

COUNTY OF LINCOLN is a federally qualified health center (fqhc) clinic center in Lincoln City, OR. COUNTY OF LINCOLN NPI is 1205161007. The provider is registered as an organization entity type.
The provider Is Doing Business As Lincoln Community Health Center - Lincoln City.

The provider's business location address is:

4422 NE DEVILS LAKE BLVD STE 2
LINCOLN CITY, OR
ZIP 97367-000
Phone: (541) 265-4947
Fax: (541) 994-0261

The provider's authorized official is Lesa Wagner .
The authorized official title is Credentialing Specialist and has the following contact phone number (541) 265-0445.

The enumeration date for this NPI number is 10/12/2009 and was last updated on 4/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
4	261QP0905X	Clinic/Center	Public Health, State or Local	No
5	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	213144	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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