LINCOLN COUNTY (NPI# 1770583213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770583213 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY |
| Other Organization Name | LINCOLN COUNTY PUBLIC HEALTH |
| Practice Address |
90 Nicholls Str. Davenport WA 99122 |
| Practice Telephone | 5097251001 |
| Practice Fax Number | 5097251014 |
| Mailing Telephone | 5097251001 |
| Mailing Fax Number | 5097251014 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2008-01-16 |
| Authorized Official Name | MR. EDWARD DZEDZY (PUBLIC HEALTH ADMINISTRATOR) |
| Authorized Official Telephone | 5097259213 |
| Authorized Official Credential | R.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD00008642 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7007735 | 05 | |
| WA | 7407992 | 05 | |
| WA | 8213407 | 05 |
| Other Name | Type Code |
|---|---|
| Lincoln County Public Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720330491 | Lincoln County | Non-emergency Medical Transport (VAN) | 1323 Gaston St, Lincolnton, NC 28092 | 2012-10-05 |
| 1144281858 | Lincoln County | Ambulance | 720 John Howel Memorial Dr, Lincolnton, NC 28092-3151 | 2006-03-31 |
| 1740405745 | Lincoln County | Clinic/Center | 151 Sigmon Rd, Lincolnton, NC 28092-8577 | 2007-04-16 |
| 1528197936 | Lincoln County | Home Health | 206 Gamble Dr, Suite B, Lincolnton, NC 28092-4439 | 2007-03-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LINCOLN COUNTY 4-H ASSOCIATION | 1211 Se Bay Blvd, Newport, OR 97365 |
| Colorado Business Entities | LINCOLN COUNTY 4-H FOUNDATION | 326 8th Street, Hugo, CO 80821 |
| Washington State Corporations | LINCOLN COUNTY AGRICULTURE RELIEF | 503 Morgan St, Davenport, WA 99122-5213 |
| Oregon Corporations, Companies and Business Names | LINCOLN COUNTY AMATEUR RADIO CLUB, INC. | 740 Sw 9th St, Newport, OR 97365 |
| Oregon Corporations, Companies and Business Names | LINCOLN COUNTY BAR ASSOCIATION, INC. | 645 Nw 11th St, Newport, OR 97365 |
| System for Award Management (SAM) Entities | LINCOLN COUNTY BOARD OF COMMISSIONERS | 210 Humphrey Street Rm 107, Lincolnton, GA 30817-5847 |
| System for Award Management (SAM) Entities | LINCOLN COUNTY BOARD OF EDUCATION | 423 Metasville Rd, Lincolnton, GA 30817-3444 |
| System for Award Management (SAM) Entities | LINCOLN COUNTY BOARD OF SUPERVISORS | 301 S First Rm 202, Brookhaven, MS 39601-3354 |
| Oregon Corporations, Companies and Business Names | LINCOLN COUNTY CEMETERY RESTORATION AND MAINTENANCE | Po Box 476, Toledo, OR 97391 |
| Oregon Corporations, Companies and Business Names | LINCOLN COUNTY CHAPTER 1113, NARFE | 303 Horizon Hill Rd, Yachats, OR 97498 |
| Street Address |
90 NICHOLLS STR. |
| City | DAVENPORT |
| State | WA |
| Zip Code | 99122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387697 | Creekside Pharmacy LLC | Pharmacy | 639 Morgan Street, Davenport, WA 99122 | 2018-12-08 |
| 1366959470 | Kandis Rose Paskell | Counselor | 547 Morgan Street, Davenport, WA 99122 | 2018-01-10 |
| 1538567839 | Alyssa Fleming | Speech-Language Pathologist | 28000 Prairie Springs Drive, Davenport, WA 99122 | 2014-12-18 |
| 1477742500 | Daniel W Pitman | Counselor | 1102 8th Street, Davenport, WA 99122 | 2007-10-15 |
| 1730201856 | Capstone Behavioral Health | Counselor | 49 Park Street, Davenport, WA 99122 | 2007-04-06 |
| 1972625762 | David Lee Turner | Dentist | 707 Logan St, Davenport, WA 99122 | 2007-04-04 |
| 1982723318 | Dawn Lorraine Wilcox | Counselor | 49 Park, Unit C, Davenport, WA 99122 | 2007-03-28 |
| 1184789703 | Michael G Van Pevenage | Physical Therapist | 506 Morgan Street, Davenport, WA 99122 | 2006-12-26 |
| 1447323811 | Davenport Vision Clinic, Inc. | Optometrist | 506 8th St, Davenport, WA 99122 | 2006-11-15 |
| 1912002791 | Davenport Pharmacy Inc | Pharmacy | 525 Morgan St, Davenport, WA 99122 | 2006-09-14 |
| Find all providers in zip 99122 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851840508 | Kimquy Kieu | Preventive Medicine | 711 24th Ave S, Seattle, WA 98144-3003 | 2016-09-22 |
| 1659799443 | James Kublin | Preventive Medicine | 1100 Fairview Ave N # E3-300, Seattle, WA 98109-4433 | 2014-03-31 |
| 1679918031 | Richard L. Rysdam | Preventive Medicine | 4742 42nd Ave Sw # 292, Seattle, WA 98116-4553 | 2013-04-29 |
| 1275886533 | Ashley Hedeen | Preventive Medicine | 1400 N 143rd St, Seattle, WA 98133-7102 | 2012-10-23 |
| 1821354069 | Aristotle Sun | Preventive Medicine | 3915 Talbot Rd S Ste 104, Renton, WA 98055-5738 | 2012-04-02 |
| 1760756563 | Reimert Thorolf Ravenholt | Preventive Medicine | 3156 E Laurelhurst Dr Ne, Seattle, WA 98105-5333 | 2012-02-27 |
| 1124316641 | Steven Dale Helgerson | Preventive Medicine | 601 Belmont Ave E, Suite F11, Seattle, WA 98102-4875 | 2011-07-18 |
| 1194054247 | Lewis B Rock IIi | Preventive Medicine | 2375 30th Ave Ne, Issaquah, WA 98029-3618 | 2009-12-21 |
| 1609047810 | Paul Howard Stepak | Preventive Medicine | 15300 Bothell Way Ne, Lake Forest Park, WA 98155-7634 | 2008-03-14 |
| 1326253501 | Kristin Elise Erickson | Preventive Medicine | 9040 Jackson Ave Medical Evaluation Board, Tacoma, WA 98431-0001 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.