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COUNTY OF LINCOLN

Ambulatory Health Care Facilities Clinic/Center Adolescent and Children Mental Health

Provider NPI: 1851626360

Organization Information:
Organization Name:  COUNTY OF LINCOLN
Organization is not Subpart
Authorized Official:  REBECCA C AUSTEN  DIRECTOR  541-265-0440

Practice Location:
1800 NE STURDEVANT RD  TOLEDO, OR 97391 US
Tel: 541-336-5419  Fax: 541-336-7658

Business Mailing Address:
36 SW NYE ST  NEWPORT, OR 97365-3821 US
Tel: 541-265-4179  Fax: 541-574-6252

NPI Information:
NPI: 1851626360
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QM0855XAmbulatory Health Care Facilities
Clinic/Center
Adolescent and Children Mental Health
N261QS1000XAmbulatory Health Care Facilities
Clinic/Center
Y261QF0400XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
213144OR05



American Medical Association 2012 taxonomy code information

Code: 261QF0400X

Type:

Classification:



Definition:



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