Organization · Type 2 NPI

Lincoln County Hospital District #3

Rural Health Clinic/Center · Wilbur, WA

NPI number 1972547610 Active

Practice location

214 SW Main St
Wilbur, WA 99185

Call (509) 647-5321 Map

Fax (509) 647-2238

Mailing address

10 Nicholls St
Davenport, WA 99122-9729

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	H-137 (WA)
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1972547610
Entity type: Organization (Type 2)
Issued: Jun 15, 2006
Last updated: Jun 26, 2026
Status: Active
Subpart: Yes of Lincoln County Hospital District #3

Other names

<unavail>
North Basin Medical Clinics · doing business as
North Basin Medical Clinics--Wilbur Clinic · doing business as
Wilbur Clinic · other name
Wilbur Clinic · other name

Authorized official

Tyson E Lacy
CEO
(509) 725-2979

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972547610

Lincoln County Hospital District #3's National Provider Identifier is 1972547610, issued on Jun 15, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wilbur, WA. The record was last updated on Jun 26, 2026.