Organization Active NPI

Lincoln Clinic

  • Health Service Clinic/Center
  • Bastrop, TX
National Provider Identifier
1003142696
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LINCOLN CLINIC
Practice address
3971 Hwy 71 E
Bastrop, TX 78602-5121
Phone
(512) 332-0933
Fax
(512) 332-0933
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gwen Smith
Title
Treasurer
Phone
(512) 332-0933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3971 Hwy 71 E
Bastrop, TX 78602-5121

Mailing address

PO Box K
Bastrop, TX 78602-1979
Phone (512) 332-0933

National Provider Directory

National Provider Directory

Locations

3971 Highway 71 E
Bastrop, TX 78602
Phone (512) 332-0933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1003142696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX K",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786021979",
            "telephone_number": "512-332-0933",
            "fax_number": "512-332-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3971 HWY 71 E",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786025121",
            "telephone_number": "512-332-0933",
            "fax_number": "512-332-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "512-332-0933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.