Provider Demographics
NPI:1326357062
Name:LINCOLN COUNTY SHERIFF'S OFFICE
Entity Type:Organization
Organization Name:LINCOLN COUNTY SHERIFF'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHERIFF
Authorized Official - Prefix:
Authorized Official - First Name:WADE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MAGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-725-9264
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:404 SINCLAIR ST.
Mailing Address - City:DAVENPORT
Mailing Address - State:WA
Mailing Address - Zip Code:99122-0367
Mailing Address - Country:US
Mailing Address - Phone:509-725-9261
Mailing Address - Fax:509-725-3533
Practice Address - Street 1:404 SINCLAIR ST.
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:WA
Practice Address - Zip Code:99122-0367
Practice Address - Country:US
Practice Address - Phone:509-725-9261
Practice Address - Fax:509-725-3533
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINCOLN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-29
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)