LINCOLN COMMUNITY HEALTH (NPI# 1689814980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689814980 |
| Entity Type | Organization |
| Organization Name | LINCOLN COMMUNITY HEALTH |
| Practice Address |
113 South Apple Street Shoshone ID 83352 |
| Mailing Address |
113 S Apple St Shoshone ID 83352-5287 |
| Practice Telephone | 2088862224 |
| Practice Fax Number | 2088862634 |
| Mailing Telephone | 2088862224 |
| Mailing Fax Number | 2088862634 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |
| Authorized Official Name | DR. KEITH DAVIS (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2088862224 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | NA | ID | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LINCOLN COMMUNITY HEALTH CENTER, INCORPORATED | 1301 Fayetteville St, Durham, NC 27707-2325 |
| Street Address |
113 SOUTH APPLE STREET |
| City | SHOSHONE |
| State | ID |
| Zip Code | 83352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053860767 | Gooding Pharmacy Inc | Pharmacy | 120 South Apple, Suite A, Shoshone, ID 83352 | 2016-09-23 |
| 1851740716 | Matthew E. Kent, O.d.,p.a. | Optometrist | 520 N Greenwood St., Shoshone, ID 83352 | 2016-06-10 |
| 1154572311 | Southern Idaho Diabetes Education Program | Clinic/Center | 108 Nw Rail St, Shoshone, ID 83352 | 2008-10-07 |
| 1750309795 | Shoshone Rehab and Living Center | Skilled Nursing Facility | 511 East 4th Street, Shoshone, ID 83352 | 2006-07-18 |
| 1487648952 | Matthew E. Kent | Optometrist | 520 N Greenwood Street, Shoshone, ID 83352 | 2005-09-09 |
| 1619119864 | Ahs of Idaho | Residential Treatment Facility, Emotionally Disturbed Children | 911 Preacher Creek Rd, Shoshone, ID 83352-5061 | 2009-04-02 |
| 1497394506 | Krista Profit | Behavior Technician | 609 E 5th St, Shoshone, ID 83352-5191 | 2020-01-06 |
| 1043277635 | Keith E Davis | Family Medicine | 113 S Apple St, Shoshone, ID 83352-5287 | 2006-04-27 |
| 1619494614 | Barbara Hapayan | Nurse Practitioner | 113 S Apple St, Shoshone, ID 83352-5287 | 2017-08-29 |
| 1982055166 | Andrea Madson | Counselor | 113 S Apple St, Shoshone, ID 83352-5287 | 2016-06-28 |
| Find all providers in zip 83352 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607704 | Mays Healing | Community/Behavioral Health | 1024 E Amity Ave, Nampa, ID 83686-5502 | 2020-10-22 |
| 1811502313 | Mindful Moments LLC | Community/Behavioral Health | 15636 N Highway 41 Ste 700, Rathdrum, ID 83858-8710 | 2020-09-10 |
| 1467064139 | Treasure Valley Compassionate Therapy, LLC | Community/Behavioral Health | 101 11th Ave S Ste 225, Nampa, ID 83651-3918 | 2020-08-23 |
| 1538779566 | Carolyn Elizabeth Barndt | Community/Behavioral Health | 1302 12th St, Lewiston, ID 83501-2932 | 2020-08-04 |
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1023634672 | Padron Counseling Services, LLC | Community/Behavioral Health | 522 Lomax St, Idaho Falls, ID 83401-2634 | 2020-06-19 |
| 1245854454 | Ken Wells Counseling | Community/Behavioral Health | 6654 E Bend Ridge St, Boise, ID 83716-5623 | 2020-06-03 |
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1083236079 | Nakale Ball | Community/Behavioral Health | 3861 N Maple Grove Rd, Boise, ID 83704-4227 | 2020-05-12 |
| 1487283917 | Emma Orthel Therapy, Pllc | Community/Behavioral Health | 210 N 3rd E, Mountain Home, ID 83647-2733 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.