Healthcare Provider Details
I. General information
NPI: 1609929116
Provider Name (Legal Business Name): LINCOLN COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2007
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 NORTH SPRING STREET
CALIENTE NV
89008
US
IV. Provider business mailing address
700 NORTH SPRING STREET
CALIENTE NV
89008-1010
US
V. Phone/Fax
- Phone: 775-726-3121
- Fax: 775-726-3666
- Phone: 775-726-3171
- Fax: 775-726-3797
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | NV |
VIII. Authorized Official
Name:
MELISSA
STARR
ROWE
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 775-726-8105