| Lincoln County Hospital District #3 | |
|
214 Sw Main St Wilbur WA 99185 | |
| (509) 647-5321 | |
| (509) 647-2238 |
| Full Name | Lincoln County Hospital District #3 |
|---|---|
| Speciality | Clinic/Center |
| Location | 214 Sw Main St, Wilbur, Washington |
| Authorized Official Name and Position | Tyson E Lacy (CEO) |
| Authorized Official Contact | 5097252979 |
| 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 #3 214 Sw Main St Wilbur WA 99185 Ph: (509) 647-5321 |
| NPI Number | 1972547610 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 3971591199 |
|---|---|
| Medicare Enrollment ID | O20081021000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972547610 | NPI | - | NPPES |
| CJ6525 | Other | WA | MEDICARE RAILROAD |
| 7101132 | Medicaid | WA | |
| 7117450 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H-137 (Washington) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |