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COUNTY OF LINCOLN NPI 1396071734


NPI Information

NPI: 1396071734
Provider Name: COUNTY OF LINCOLN

Doing Business As: LINCOLN COUNTY HEALTH & HUMAN SERVICES

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D1083157

Address:
3780 SE SPY GLASS RIDGE DR
LINCOLN CITY, OR
ZIP 97367
Phone: (541) 996-2311
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COUNTY OF LINCOLN is a federally qualified health center (fqhc) clinic center in Lincoln City, OR. COUNTY OF LINCOLN NPI is 1396071734. The provider is registered as an organization entity type.
The provider Is Doing Business As Lincoln County Health & Human Services.

The provider's business location address is:

3780 SE SPY GLASS RIDGE DR
LINCOLN CITY, OR
ZIP 97367-939
Phone: (541) 996-2311
Fax: (541) 557-1643

The provider's authorized official is Valerie Jean Davis .
The authorized official title is Deputy Director and has the following contact phone number (541) 265-0434.

The CLIA number assigned to this NPI record is 38D1083157 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 11/30/2022.


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 License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QS1000XClinic/CenterStudent HealthNo
3261QF0400XClinic/CenterFederally 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
1213144MEDICAIDOREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.