| Lincoln County Hospital District 3 | |
|
550 E Broadway Ave Reardan WA 99029 | |
| (509) 796-2737 | |
| (509) 796-2738 |
| Full Name | Lincoln County Hospital District 3 |
|---|---|
| Speciality | Clinic/Center |
| Location | 550 E Broadway Ave, Reardan, Washington |
| Authorized Official Name and Position | Tyson E Lacy (CEO, ADMINISTRATOR) |
| Authorized Official Contact | 5097257101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln County Hospital District 3 10 Nicholls St Davenport WA 99122-9729 Ph: (509) 725-7501 | Lincoln County Hospital District 3 550 E Broadway Ave Reardan WA 99029 Ph: (509) 796-2737 |
| NPI Number | 1639113830 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 3971591199 |
|---|---|
| Medicare Enrollment ID | O20040505000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639113830 | NPI | - | NPPES |
| 7101132 | Medicaid | WA | |
| CJ6525 | Other | WA | MEDICARE RAILROAD |
| 7117450 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H-137 (Washington) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Richard Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477698918 PECOS PAC ID: 0941289433 Enrollment ID: I20040719000037 |
| Provider Name | Stacia J Soliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700829843 PECOS PAC ID: 8325095003 Enrollment ID: I20050405000655 |
| Provider Name | Chad C Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053350660 PECOS PAC ID: 3173541232 Enrollment ID: I20051107000927 |
| Provider Name | Steven Willis Beckstrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316033210 PECOS PAC ID: 1557378411 Enrollment ID: I20060317000111 |
| Provider Name | Lynn Kohlmeier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528026820 PECOS PAC ID: 7315959236 Enrollment ID: I20060615000351 |
| Provider Name | Chad A Mongrain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720028244 PECOS PAC ID: 0840202453 Enrollment ID: I20060623000244 |
| Provider Name | Amy J Hiestand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124140116 PECOS PAC ID: 3678670031 Enrollment ID: I20070521000238 |
| Provider Name | Frederick J Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467411157 PECOS PAC ID: 4385724780 Enrollment ID: I20080110000068 |
| Provider Name | Sandra Friendshuh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467562413 PECOS PAC ID: 7214039676 Enrollment ID: I20080925000150 |
| Provider Name | James N Dunlap |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740256759 PECOS PAC ID: 5092706655 Enrollment ID: I20081114000690 |
| Provider Name | Donella S Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073554119 PECOS PAC ID: 3779618921 Enrollment ID: I20100312001038 |
| Provider Name | Rolf K Panke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396782272 PECOS PAC ID: 3476689076 Enrollment ID: I20100408000245 |
| Provider Name | Rebecca D Mallo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225295397 PECOS PAC ID: 8224211982 Enrollment ID: I20110318000114 |
| Provider Name | Todd Douglas Corn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366409500 PECOS PAC ID: 4082674650 Enrollment ID: I20111121000600 |
| Provider Name | Amy A Eddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508179482 PECOS PAC ID: 7618102088 Enrollment ID: I20131022000064 |
| Provider Name | Deepika Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457616443 PECOS PAC ID: 4587984273 Enrollment ID: I20170619000869 |
| Provider Name | Paul F Travis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346732633 PECOS PAC ID: 7113271206 Enrollment ID: I20181107003451 |
| Provider Name | Raaj Kiran Ruparel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174819593 PECOS PAC ID: 1658590856 Enrollment ID: I20191219003153 |
| Provider Name | Karen E Keith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992215388 PECOS PAC ID: 7416215652 Enrollment ID: I20220503000450 |
| Provider Name | Karl Howard Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508846353 PECOS PAC ID: 1456439546 Enrollment ID: I20220817001588 |
| Provider Name | Brian P Yoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841790268 PECOS PAC ID: 6709125966 Enrollment ID: I20220919001120 |
| Provider Name | Laura Jean Wittmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295217289 PECOS PAC ID: 2466796537 Enrollment ID: I20231229002338 |
| Provider Name | Kara B Wesebaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114410073 PECOS PAC ID: 6103368006 Enrollment ID: I20240606003118 |
| Provider Name | Benjamin I Wainblat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205491164 PECOS PAC ID: 1658606454 Enrollment ID: I20240815004383 |