Organization
LINCOLN COUNTY HOSPITAL DISTRICT 3
Active
Parent organization
LINCOLN COUNTY HOSPITAL DISTRICT 3
Other names
Lincoln Hospital Skilled Nursing Facility
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOLN COUNTY HOSPITAL DISTRICT 3
Authorized official
TYSON E LACY (CEO)
(509) 725-2979
Entity
Organization
Contact information
Practice address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-2979
(509) 725-2112
Mailing address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-2979
(509) 725-2112
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
H-137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4213708
—
WA
05
—
7101132
—
WA
05
—
7117450
—
WA
01
—
CJ6525
MEDICARE RAILROAD
WA
Enumeration date
09/08/2006
Last updated
06/08/2026
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