| Organization Name: | LINCOLN COUNTY HOSPITAL DISTRICT |
| NPI Number: | 1174602056 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON BLEAK (ADMINISTRATOR/CEO) |
| Mailing Address: | 20 South 1st West Alamo |
| State: | NV US |
| Postal Code: | 890010548 |
| Phone Number: | 7757253364 |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 10/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 643HOS 15 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |