Provider Demographics
NPI:1144278268
Name:LINCOLN COUNTY HOSPITAL
Entity type:Organization
Organization Name:LINCOLN COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
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
Mailing Address - Country:US
Mailing Address - Phone:785-524-4403
Mailing Address - Fax:785-524-3034
Practice Address - Street 1:219 N MAIN
Practice Address - Street 2:
Practice Address - City:SYLVAN GROVE
Practice Address - State:KS
Practice Address - Zip Code:67481
Practice Address - Country:US
Practice Address - Phone:785-526-7474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINCOLN COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-04
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS173408261QR1300X
261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100099140CMedicaid
KS100099140CMedicaid
173408Medicare PIN
I46338Medicare UPIN
F91790Medicare UPIN
173408Medicare Oscar/Certification