Provider Demographics
NPI:1942265327
Name:LINCOLN COUNTY HOSPITAL
Entity Type:Organization
Organization Name:LINCOLN COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAWNYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-524-4403
Mailing Address - Street 1:PO BOX 406
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:KS
Mailing Address - Zip Code:67455-0406
Mailing Address - Country:US
Mailing Address - Phone:785-524-4403
Mailing Address - Fax:785-524-5296
Practice Address - Street 1:624 N 2ND
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:KS
Practice Address - Zip Code:67455-0406
Practice Address - Country:US
Practice Address - Phone:785-524-4403
Practice Address - Fax:785-524-5296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS171360282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS171360OtherPROVIDER NUMBER
KST01546OtherSTATE LICENSE
KS046876Medicare PIN
KS171360OtherPROVIDER NUMBER
KS171360Medicare Oscar/Certification
KS009814Medicare PIN
KS046876Medicare PIN
KS105015Medicare PIN
KS171360Medicare Oscar/Certification