Lincoln Community Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NA Issued in ID

Legal business name

LINCOLN COMMUNITY HEALTH

Practice address

113 South Apple Street
Shoshone, ID 83352

Phone

(208) 886-2224

Fax

(208) 886-2634

NPI assigned

Feb 26, 2009

Last updated

Feb 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Keith Davis, M.D.NPI 1043277635

Title

Ceo/Medical Director

Phone

(208) 886-2224

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keith E Davis, M.D.

  • Family Medicine Physician
  • Shoshone, ID
  • NPI 1043277635
  Authorized official Same address or phone

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1689814980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S APPLE ST",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525287",
            "telephone_number": "208-886-2224",
            "fax_number": "208-886-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SOUTH APPLE STREET",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "83352",
            "telephone_number": "208-886-2224",
            "fax_number": "208-886-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-886-2224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jesse Harding
• Blaine Hawkes
• Katie S Hays, LCSW
• Keith E Davis (Shoshone Family Medical Center)
• Matthew E. Kent, O.D.
• Lincoln County Care Center LLC
• Lincoln County EMS
• Lincoln County EMS
• Andrea Madson, LMSW
• Matthew E. Kent, O.D.,P.a. (Little Wood Vision Clinic)

• Community/Behavioral Health Agency in Shoshone, ID
• Providers in Shoshone, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.