# LINCOLN COUNTY HOSPITAL DISTRICT \#3 / NORTH BASIN MEDICAL CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LINCOLN COUNTY HOSPITAL DISTRICT 3
- **Other names:** North Basin Medical Clinics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053527853
- **Legal business name:** LINCOLN COUNTY HOSPITAL DISTRICT 3
- **Authorized official:** TYSON E LACY (CEO)
- **Authorized official phone:** (509) 725-2979

## Contact information

- **Practice address:** 10 NICHOLLS ST, DAVENPORT, WA 99122-9729
- **Practice address phone:** (509) 725-7501
- **Practice address fax:** (509) 725-7504
- **Mailing address:** 10 NICHOLLS ST, DAVENPORT, WA 99122-9729
- **Mailing address phone:** (509) 725-7501
- **Mailing address fax:** (509) 725-7504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 06/08/2026