1497722110 NPI number — COUNTY OF LINCOLN

Table of content: (NPI 1497722110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497722110 NPI number — COUNTY OF LINCOLN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF LINCOLN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LINCOLN COUNTY HEALTH DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497722110
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/10/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 W COURT ST
Provider Second Line Business Mailing Address:
PO BOX 187
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67455
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-524-4406
Provider Business Mailing Address Fax Number:
785-524-5003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
114 W COURT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-524-4406
Provider Business Practice Location Address Fax Number:
785-524-5003
Provider Enumeration Date:
03/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
REINERT
Authorized Official First Name:
LADONNA
Authorized Official Middle Name:
Authorized Official Title or Position:
RN ADMINISTRATOR
Authorized Official Telephone Number:
785-524-4406

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 629840 . This is a "FIRST GUARD" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100014610A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 600002625 . This is a "PALMETTO GBA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100014610E . This is a "MEDICAID DENTISTRY" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 119971 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100015530A . This is a "MEDICAID HCBS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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