| NPI | 1659407872 |
|---|---|
| Doing Business As | LINCOLN AVENUE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SHANNON FERNANDEZ Billing VP 509-865-6175 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-01-19 |