| County Of Lincoln | |
|
3000 S Crestline Dr Waldport OR 97394-9739 | |
| (541) 265-0471 | |
| (541) 650-5662 |
| Full Name | County Of Lincoln |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3000 S Crestline Dr, Waldport, Oregon |
| Authorized Official Name and Position | Lesa Wagner (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5412650445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Lincoln 36 Sw Nye St Newport OR 97365-3821 Ph: (541) 265-0468 | County Of Lincoln 3000 S Crestline Dr Waldport OR 97394-9739 Ph: (541) 265-0471 |
| NPI Number | 1760718100 |
|---|---|
| Provider Enumeration Date | 10/20/2009 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760718100 | NPI | - | NPPES |
| 213144 | Medicaid | OR | |
| 500828989 | Medicaid | OR |
County Of Lincoln Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 525 N Bay St, Waldport, OR 97394 Phone: 541-265-4947 Fax: 541-574-7670 |