# LINCOLN CITY IMMEDIATE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811925092
- **Authorized official:** SHERREL A STEPHENS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (540) 504-6315

## Contact information

- **Practice address:** 1105 SE JETTY AVE, SUITE C, LINCOLN CITY, OR 97367-2632
- **Practice address phone:** (541) 994-1727
- **Practice address fax:** (541) 996-5181
- **Mailing address:** PO BOX 177, MCMINNVILLE, OR 97128-0177
- **Mailing address phone:** (541) 504-6315
- **Mailing address fax:** (541) 923-4002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | OR | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 04/24/2009