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Contact Information

COUNTY OF LINCOLN
3000 S CRESTLINE DR
WALDPORT, OR97394-9739
 Phone: 541-265-0471
 Fax: 541-650-5662
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Adolescent and Children Mental Health

261QM0855X
 

Student Health

261QS1000X
Indicates primary specialty

NPI Profile & details for COUNTY OF LINCOLN

NPI # 1760718100
LBN Legal business name COUNTY OF LINCOLN
Authorized official LESA WAGNER - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/20/2009
Last updated 02/24/2026 - About 3 months ago
Identifiers
OR Medicaid 213144
OR Medicaid 500828989
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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