# LINCOLN COUNTY HOSPITAL DISTRICT 3

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LINCOLN COUNTY HOSPITAL DISTRICT 3
- **Other names:** Lincoln Hospital Skilled Nursing Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093819211
- **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) 725-2979
- **Practice address fax:** (509) 725-2112
- **Mailing address:** 10 NICHOLLS ST, DAVENPORT, WA 99122-9729
- **Mailing address phone:** (509) 725-2979
- **Mailing address fax:** (509) 725-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | H-137 | WA | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 06/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4213708 | — | WA |
| 05 | — | 7101132 | — | WA |
| 05 | — | 7117450 | — | WA |
| 01 | — | CJ6525 | MEDICARE RAILROAD | WA |