| NPI | 1205161007 |
|---|---|
| Doing Business As | LINCOLN COUNTY HHS COASTAL HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LESA WAGNER Credentialing Specialist 541-265-0445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2025-08-08 |