LINCOLN COUNTY HOSPITAL DISTRICT #3 NPI 1972547610

NPI Information

NPI: 1972547610
Provider Name: LINCOLN COUNTY HOSPITAL DISTRICT #3

Other Name: WILBUR CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
214 SW MAIN ST
WILBUR, WA
ZIP 99185
Phone: (509) 647-5321
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LINCOLN COUNTY HOSPITAL DISTRICT #3 is a rural health clinic center in Wilbur, WA. LINCOLN COUNTY HOSPITAL DISTRICT #3 NPI is 1972547610. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Wilbur Clinic.

The provider's business location address is:

214 SW MAIN ST
WILBUR, WA
ZIP 99185
Phone: (509) 647-5321
Fax: (509) 647-2238

The provider's authorized official is Tyson E Lacy .
The authorized official title is Ceo and has the following contact phone number (509) 725-2979.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/18/2022.

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
1	207Q00000X	Family Medicine		H-137	WASHINGTON	No
2	261QR1300X	Clinic/Center	Rural Health			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	CJ6525	OTHER	WASHINGTON	MEDICARE RAILROAD
2	7101132	MEDICAID	WASHINGTON
3	7117450	MEDICAID	WASHINGTON

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: 4/28/2024

NPI Synchronization or Removal

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