Healthcare Provider Details

I. General information

NPI: 1659595460
Provider Name (Legal Business Name): LINCOLN COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
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

PO BOX 1010
CALIENTE NV
89008-1010
US

V. Phone/Fax

Practice location:
  • Phone: 775-726-3171
  • Fax:
Mailing address:
  • Phone: 775-726-3171
  • Fax: 775-726-3797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number643RUH-20
License Number StateNV

VIII. Authorized Official

Name: MELISSA STARR ROWE
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 775-726-8005