NPIMap

Organization Active NPI

County of Lincoln

  • Federally Qualified Health Center (FQHC)
  • Lincoln City, OR
National Provider Identifier
1205161007
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COUNTY OF LINCOLN
Practice address
1105 SE Jetty Ave
Lincoln City, OR 97367-2604
Phone
(541) 265-4947
NPI assigned
Oct 12, 2009
Organization subpart
Yes
Parent organization
COUNTY OF LINCOLNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Lesa Wagner
Title
Credentialing Specialist
Phone
(541) 265-0445

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

1105 SE Jetty Ave
Lincoln City, OR 97367-2604

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-0445

Other identifiers 1

IdentifierTypeStateIssuer
213144MedicaidOR

Other names 1

  • Lincoln County HHS Coastal Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000414 OR Part A Provider - Federally Qualified Health Center (FQHC) 3375439862 1 other NPI on this enrollment
Practice locations: Lincoln City, OR

Federally qualified health center certification: CCN 381893

Legal name
COUNTY OF LINCOLN
Doing business as
LINCOLN COUNTY HEALTH & HUMAN SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 23, 2006
Last certification
Sep 23, 2006
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Incorporated
Nov 24, 2004 in OR
Enrollment address
4422 NE Devils Lake Blvd
Ste 2
Lincoln City, OR 97367-5000

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Co HLTH Human SVCS11 organizations share this tax ID, including this one
Part of
Lincoln Co HLTH Human SVCS

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
County of Lincoln Organization, Newport, OR Medical provider/supplier, Non-profit Operational/Managerial Control Jul 1, 2006
Lesa Wagner Individual W-2 Managing EmployeeCredentialing Specialist Nov 12, 2019

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Newport SBHC - Community Health CenterNewport, OR, CCN 381895 Federally qualified health center Operational/Managerial Control Jul 1, 2006
Lincoln County Health & Human ServicesLincoln City, OR, CCN 381891 Federally qualified health center Operational/Managerial Control Jul 1, 2006
Lincoln County Health and Human ServicesNewport, OR, CCN 381920 Federally qualified health center 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jan 1, 1999
Jan 1, 1999
Lincoln County Adult BH & AddictionsNewport, OR, CCN 381966 Federally qualified health center Other (100%) Jan 1, 1966
Lincoln County Waldport ClinicWaldport, OR, CCN 381032 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1205161007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-0445",
            "fax_number": "844-760-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SE JETTY AVE",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672604",
            "telephone_number": "541-265-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LINCOLN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LINCOLN",
        "enumeration_date": "2009-10-12",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LESA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "541-265-0445"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213144",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County HHS Coastal Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln City, OR

Sources for this page

Verify at the official NPI Registry.