Organization
COUNTY OF LINCOLN
Active
Parent organization
COUNTY OF LINCOLN
Other names
Toledo School-Based Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LINCOLN
Authorized official
LESA WAGNER (CREDENTIALING SPECIALIST)
(541) 265-0445
Entity
Organization
Contact information
Practice address
1800 NE STURDEVANT RD, TOLEDO, OR 97391-2413
(541) 265-0445
(541) 265-4993
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
(541) 265-4993
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213144
—
OR
05
—
500828989
—
OR
Enumeration date
10/16/2009
Last updated
02/24/2026
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