Healthcare Provider Details

I. General information

NPI: 1679941926
Provider Name (Legal Business Name): LINCOLN COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N SPRING STREET SUITE C
CALIENTE NV
89008-0103
US

IV. Provider business mailing address

PO BOX 1010
CALIENTE NV
89008-1010
US

V. Phone/Fax

Practice location:
  • Phone: 775-726-3117
  • Fax: 775-726-3118
Mailing address:
  • Phone: 775-726-3171
  • Fax: 775-726-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA STARR ROWE
Title or Position: ADMINISTRATOR/CEO
Credential:
Phone: 775-726-8105