Provider Demographics
NPI:1497722110
Name:COUNTY OF LINCOLN
Entity Type:Organization
Organization Name:COUNTY OF LINCOLN
Other - Org Name:LINCOLN COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LADONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REINERT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-524-4406
Mailing Address - Street 1:114 W COURT ST
Mailing Address - Street 2:PO BOX 187
Mailing Address - City:LINCOLN
Mailing Address - State:KS
Mailing Address - Zip Code:67455
Mailing Address - Country:US
Mailing Address - Phone:785-524-4406
Mailing Address - Fax:785-524-5003
Practice Address - Street 1:114 W COURT ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:KS
Practice Address - Zip Code:67455
Practice Address - Country:US
Practice Address - Phone:785-524-4406
Practice Address - Fax:785-524-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS122300000X
251E00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS629840OtherFIRST GUARD
KS100014610AMedicaid
600002625OtherPALMETTO GBA
KS100014610EOtherMEDICAID DENTISTRY
119971OtherBCBS
KS100015530AOtherMEDICAID HCBS
119971OtherBCBS