MEDICARE: LINCOLN COUNTY HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center	173408	KS
2	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144278268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINCOLN COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 406
Second Line	:
City	:	LINCOLN
State	:	KS
Zip	:	67455
Country	:	US
Telephone Number	:	785-524-4403
Fax Number	:	785-524-3034

Provider Business Practice Location Address
First Line	:	219 N MAIN
Second Line	:
City	:	SYLVAN GROVE
State	:	KS
Zip	:	67481
Country	:	US
Telephone Number	:	785-526-7474
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	TAWNYA M SEITZ
Credential	:
Telephone Number	:	785-524-4403

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/01/2010

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Directions to “LINCOLN COUNTY HOSPITAL ” Practice Location

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