County of Lincoln

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

COUNTY OF LINCOLN

Doing business as

Toledo School-Based Health Center

Practice address

1800 NE Sturdevant Rd
Toledo, OR 97391-2413

Phone

(541) 265-0445

Fax

(541) 265-4993

NPI assigned

Oct 16, 2009

Last updated

Feb 24, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNTY OF LINCOLNAs reported in NPPES

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

Authorized official

Name

Lesa WagnerNPI 1447827407

Title

Credentialing Specialist

Phone

(541) 265-0445

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Toledo School-Based Health Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851626360. Details of each certification follow.

• CCN 381894 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 381894

Legal name

LINCOLN COMM HEALTH CENTER - TOLEDO HIGH SCHOOL

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

Facility address

1800 NE Sturdevant Road
Toledo, OR 97391

Part of

Lincoln Co HLTH Human SVCS

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.

• County of Lincoln

  • Public Health or Welfare Agency
  • Newport, OR
  • NPI 1427289925
  NPPES parent name

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.

• Lesa Wagner, MTD

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Newport, OR
  • NPI 1447827407
  Authorized official Same address or phone

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1851626360",
    "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": "541-265-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NE STURDEVANT RD",
            "city": "TOLEDO",
            "state": "OR",
            "postal_code": "973912413",
            "telephone_number": "541-265-0445",
            "fax_number": "541-265-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LINCOLN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LINCOLN",
        "enumeration_date": "2009-10-16",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500828989",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213144",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo School-Based Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wade Horton Cockburn, MA, PHD(C)
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• Amy Conner
• Tracy Lynn Cook
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• Erin Christian Detrick, B.A.
• Nakeima E Dorr, DNP
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• Uri Z Goldberg, D.O.

• Federally Qualified Health Center (FQHC) in Toledo, OR
• Providers in Toledo, OR by specialty
• Federally Qualified Health Center (FQHC) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.