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CAH501305-00 Lincoln County Public Hospital District No. 3 (Active)
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Main Details
Name
Lincoln County Public Hospital District No. 3
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501305-00
Medicare Provider Number
501305
Additional Details
Current Program Status
Active
Registration Date
6/1/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Lincoln Hospital District #3
Tim O'Connell, CFO
(509) 725-2979 Ext: 1157
Primary Contact
Lincoln Hospital District #3
Tyson Lacy, CEO
(509) 725-2979 Ext: 1168
Addresses
Street Address
10 Nicholls St
Davenport, WA 99122
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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