Healthcare Provider Details

I. General information

NPI: 1871202465
Provider Name (Legal Business Name): LINCOLN COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2022
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N SPRING STREET
CALIENTE NV
89008-1010
US

IV. Provider business mailing address

PO BOX 1010
CALIENTE NV
89008-1010
US

V. Phone/Fax

Practice location:
  • Phone: 775-726-3171
  • Fax: 775-726-3666
Mailing address:
  • Phone: 775-726-3171
  • Fax: 775-726-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JO LYNN CARDINAL
Title or Position: CONTRACT MANAGER
Credential:
Phone: 775-726-8012