LINCOLN COUNTY


Address: 90 Nicholls Str., Davenport, WA 99122
Phone: 5097251001

LINCOLN COUNTY (NPI# 1770583213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770583213
Entity Type Organization
Organization Name LINCOLN COUNTY
Other Organization Name LINCOLN COUNTY PUBLIC HEALTH
Practice Address 90 Nicholls Str.
Davenport
WA 99122
Practice Telephone 5097251001
Practice Fax Number 5097251014
Mailing Telephone 5097251001
Mailing Fax Number 5097251014
Enumeration Date 2005-07-27
Last Update Date 2008-01-16
Authorized Official Name MR. EDWARD DZEDZY (PUBLIC HEALTH ADMINISTRATOR)
Authorized Official Telephone 5097259213
Authorized Official Credential R.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
MD00008642 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 7007735 05
WA 7407992 05
WA 8213407 05

Other Provider/Organization Names

Other Name Type Code
Lincoln County Public Health Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720330491 Lincoln County Non-emergency Medical Transport (VAN) 1323 Gaston St, Lincolnton, NC 28092 2012-10-05
1144281858 Lincoln County Ambulance 720 John Howel Memorial Dr, Lincolnton, NC 28092-3151 2006-03-31
1740405745 Lincoln County Clinic/Center 151 Sigmon Rd, Lincolnton, NC 28092-8577 2007-04-16
1528197936 Lincoln County Home Health 206 Gamble Dr, Suite B, Lincolnton, NC 28092-4439 2007-03-02

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names LINCOLN COUNTY 4-H ASSOCIATION 1211 Se Bay Blvd, Newport, OR 97365
Colorado Business Entities LINCOLN COUNTY 4-H FOUNDATION 326 8th Street, Hugo, CO 80821
Washington State Corporations LINCOLN COUNTY 4X4 201 N 3rd St, Harrington, WA 99134
Washington State Corporations LINCOLN COUNTY AGRICULTURE RELIEF 503 Morgan St, Davenport, WA 99122-5213
Oregon Corporations, Companies and Business Names LINCOLN COUNTY AMATEUR RADIO CLUB, INC. 740 Sw 9th St, Newport, OR 97365
Oregon Corporations, Companies and Business Names LINCOLN COUNTY BAR ASSOCIATION, INC. 645 Nw 11th St, Newport, OR 97365
System for Award Management (SAM) Entities LINCOLN COUNTY BOARD OF COMMISSIONERS 210 Humphrey Street Rm 107, Lincolnton, GA 30817-5847
System for Award Management (SAM) Entities LINCOLN COUNTY BOARD OF EDUCATION 423 Metasville Rd, Lincolnton, GA 30817-3444
System for Award Management (SAM) Entities LINCOLN COUNTY BOARD OF SUPERVISORS 301 S First Rm 202, Brookhaven, MS 39601-3354
Oregon Corporations, Companies and Business Names LINCOLN COUNTY CEMETERY RESTORATION AND MAINTENANCE Po Box 476, Toledo, OR 97391

Office Location

Street Address 90 NICHOLLS STR.
City DAVENPORT
State WA
Zip Code 99122

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003387697 Creekside Pharmacy LLC Pharmacy 639 Morgan Street, Davenport, WA 99122 2018-12-08
1366959470 Kandis Rose Paskell Counselor 547 Morgan Street, Davenport, WA 99122 2018-01-10
1538567839 Alyssa Fleming Speech-Language Pathologist 28000 Prairie Springs Drive, Davenport, WA 99122 2014-12-18
1477742500 Daniel W Pitman Counselor 1102 8th Street, Davenport, WA 99122 2007-10-15
1730201856 Capstone Behavioral Health Counselor 49 Park Street, Davenport, WA 99122 2007-04-06
1972625762 David Lee Turner Dentist 707 Logan St, Davenport, WA 99122 2007-04-04
1982723318 Dawn Lorraine Wilcox Counselor 49 Park, Unit C, Davenport, WA 99122 2007-03-28
1184789703 Michael G Van Pevenage Physical Therapist 506 Morgan Street, Davenport, WA 99122 2006-12-26
1447323811 Davenport Vision Clinic, Inc. Optometrist 506 8th St, Davenport, WA 99122 2006-11-15
1912002791 Davenport Pharmacy Inc Pharmacy 525 Morgan St, Davenport, WA 99122 2006-09-14
Find all providers in zip 99122

Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851840508 Kimquy Kieu Preventive Medicine 711 24th Ave S, Seattle, WA 98144-3003 2016-09-22
1659799443 James Kublin Preventive Medicine 1100 Fairview Ave N # E3-300, Seattle, WA 98109-4433 2014-03-31
1679918031 Richard L. Rysdam Preventive Medicine 4742 42nd Ave Sw # 292, Seattle, WA 98116-4553 2013-04-29
1275886533 Ashley Hedeen Preventive Medicine 1400 N 143rd St, Seattle, WA 98133-7102 2012-10-23
1821354069 Aristotle Sun Preventive Medicine 3915 Talbot Rd S Ste 104, Renton, WA 98055-5738 2012-04-02
1760756563 Reimert Thorolf Ravenholt Preventive Medicine 3156 E Laurelhurst Dr Ne, Seattle, WA 98105-5333 2012-02-27
1124316641 Steven Dale Helgerson Preventive Medicine 601 Belmont Ave E, Suite F11, Seattle, WA 98102-4875 2011-07-18
1194054247 Lewis B Rock IIi Preventive Medicine 2375 30th Ave Ne, Issaquah, WA 98029-3618 2009-12-21
1609047810 Paul Howard Stepak Preventive Medicine 15300 Bothell Way Ne, Lake Forest Park, WA 98155-7634 2008-03-14
1326253501 Kristin Elise Erickson Preventive Medicine 9040 Jackson Ave Medical Evaluation Board, Tacoma, WA 98431-0001 2007-05-11
Find all providers with the same taxonomy

Competitor

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City DAVENPORT
Zip Code 99122

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Dataset Information

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.

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