LINCOLN COUNTY HOSPITAL DISTRICT 3 (NPI# 1972547610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972547610 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Other Organization Name | NORTH BASIN MEDICAL CLINICS--WILBUR CLINIC |
| Practice Address |
100 3rd St Suite 1 Davenport WA 99122-9730 |
| Practice Telephone | 5097257501 |
| Practice Fax Number | 5097257504 |
| Mailing Telephone | 5097257501 |
| Mailing Fax Number | 5097257504 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | TYSON LACY (CEO) |
| Authorized Official Telephone | 5097252979 |
| Is Organization Subpart | Y |
| Parent Organization Name | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | H-137 | WA | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7101132 | 05 | |
| WA | 7117450 | 05 | |
| WA | MEDICARE RAILROAD | CJ6525 | 01 |
| Other Name | Type Code |
|---|---|
| North Basin Medical Clinics--Wilbur Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053527853 | Lincoln County Hospital District 3 | Surgery | 100 3rd St Ste 1, Davenport, WA 99122-5008 | 2007-05-16 |
| 1013027218 | Lincoln County Hospital District 3 | General Acute Care Hospital | 10 Nicholls St, Davenport, WA 99122-9729 | 2006-08-30 |
| 1639113830 | Lincoln County Hospital District 3 | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-16 |
| 1841234598 | Lincoln County Hospital District 3 | General Acute Care Hospital | 10 Nicholls St, Davenport, WA 99122 | 2006-06-15 |
| 1558309518 | Lincoln County Hospital District 3 | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-03 |
| Street Address |
100 3RD ST SUITE 1 |
| City | DAVENPORT |
| State | WA |
| Zip Code | 99122-9730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497205439 | Lincoln County Hospital District #3 / North Basin Medical Clinics | Health Maintenance Organization | 100 3rd St, Davenport, WA 99122-5008 | 2016-10-13 |
| 1356795959 | Leah Olvera | Massage Therapist | 100 3rd St, Davenport, WA 99122-5008 | 2016-04-20 |
| 1124331996 | Providence Health & Services | Internal Medicine | 100 3rd St, Davenport, WA 99122-5008 | 2010-07-21 |
| 1891940789 | Knute J Hernas Dds Ps | Clinic/Center | 100 3rd St, Suite 3, Davenport, WA 99122-5008 | 2008-11-19 |
| 1720126477 | Knute Jonathan Hernas | Dentist | 100 3rd St, Suite 3, Davenport, WA 99122-9730 | 2007-02-02 |
| 1639113830 | Lincoln County Hospital District 3 | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-16 |
| 1821031410 | Cynthia D. Mccall | Registered Nurse | 100 3rd St, Suite 4, Davenport, WA 99122-9730 | 2006-06-13 |
| 1073554119 | Donella S. Young | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-09 |
| 1558309518 | Lincoln County Hospital District 3 | Family Medicine | 100 3rd St, Suite 1, Davenport, WA 99122-9730 | 2006-06-03 |
| 1053358465 | Deanna D. Davidson | Surgery | 100 3rd St, Suite 4, Davenport, WA 99122-9730 | 2006-06-02 |
| Find all providers in the same location | ||||
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589349 | Thayer County Memorial Hospital | Clinic/Center | 105 S Linden Ave, Davenport, NE 68335-3129 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
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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.