Active NPI
Lincoln Clinic
- Health Service Clinic/Center
- Bastrop, TX
National Provider Identifier
1003142696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.