Lincoln County

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD00008642 Issued in WA

Legal business name

LINCOLN COUNTY

Practice address

90 Nicholls STR.
Davenport, WA 99122

Phone

(509) 725-1001

Fax

(509) 725-1014

NPI assigned

Jul 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Edward Dzedzy, R.S.

Title

Public Health Administrator

Phone

(509) 725-9213

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lincoln County Public Health Other name

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lincoln County Sheriff's Office

  • Secured Medical Transport (VAN)
  • Davenport, WA
  • NPI 1326357062
  NPPES parent name

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1770583213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NICHOLLS STR.",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "99122",
            "telephone_number": "509-725-1001",
            "fax_number": "509-725-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 NICHOLLS STR.",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "99122",
            "telephone_number": "509-725-1001",
            "fax_number": "509-725-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "DZEDZY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "509-725-9213",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.S."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "MD00008642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7007735",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8213407",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7407992",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richelle Kay Kowalkowski, RN
• Breanne N Lamoureaux
• Jennifer Ann Larmer, RN
• Angela G Larson
• Lavender Luxe Massage
• Lincoln County Alcohol Drug Center
• Lincoln County Healthmart Pharm
• Lincoln County Hospital District #3 (Lincoln Hospital)
• Lincoln County Hospital District #3 / North Basin Medical Clinics (North Basin Medical Clinics)
• Lincoln County Hospital District #3 / North Basin Medical Clinics

• Public Health & General Preventive Medicine Physician in Davenport, WA
• Providers in Davenport, WA by specialty
• Public Health & General Preventive Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.