| Organization Name: | LINCOLN COUNTY HOSPITAL DISTRICT |
| NPI Number: | 1609929116 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON BLEAK (CEO) |
| Mailing Address: | 700 North Spring Street Caliente |
| State: | NV US |
| Postal Code: | 890081010 |
| Phone Number: | 7757263121 |
| Fax Number: | 7757263666 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| 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: | |