NPIMap

Organization Active NPI

County of Lincoln

  • Federally Qualified Health Center (FQHC)
  • Waldport, OR
National Provider Identifier
1942946934
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
525 N Bay St
Waldport, OR 97394-9010
Phone
(541) 265-4947
Fax
(541) 574-7670
NPI assigned
May 11, 2022
Last updated
Feb 24, 2026By the provider in NPPES
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 WagnerNPI 1447827407
Title
Credentialing Specialist
Phone
(541) 265-0445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Public Health or Welfare Agency 251K00000X
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Primary Care Clinic/Center 261QP2300X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

525 N Bay St
Waldport, OR 97394-9010

Mailing address

36 SW Nye St
Newport, OR 97365-3821
Phone (541) 265-0468

Other identifiers 6

IdentifierTypeStateIssuer
500828989MedicaidOR
500841745MedicaidOR
500836597MedicaidOR
500817645MedicaidOR
213144MedicaidOR
500803847MedicaidOR

Other names 2

  • Coastal Healthcare Other name
  • Lincoln County BH & Addictions Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040223000811 OR Part B Supplier - Clinic/Group Practice 3375439862 Receives reassigned benefits from 30 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln City, OR; Newport, OR; Toledo, OR; Waldport, OR
O20230320002778 OR Part A Provider - Federally Qualified Health Center (FQHC) 3375439862 Practice locations: Waldport, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942946934. Details of each certification follow.

Federally qualified health center certification: CCN 381032

Legal name
COUNTY OF LINCOLN
Doing business as
LINCOLN COUNTY WALDPORT CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 20, 2023
Last certification
Mar 20, 2023
Ownership / control type
For profit – corporation
Organization structure
GovernmentNon-profit
Enrollment address
525 N Bay St
Waldport, OR 97394-9010

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 4

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

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Cty Health Dept11 organizations share this tax ID, including this one
Part of
Lincoln Cty Health Dept

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 3

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

NameRoleSinceShare
Valerie Jean Davis Individual Corporate DirectorDeputy Director Aug 1, 2022
W-2 Managing EmployeeCredentialing Specialist Aug 1, 2022
County of Lincoln Organization, Newport, OR Non-profit Operational/Managerial Control Aug 1, 2022 100%
Lesa Wagner Individual W-2 Managing EmployeeCredentialing Specialist Aug 1, 2022

Owners & managing parties with NPI records 4

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

  • County of Lincoln

    dba Lincoln County HHS Coastal Healthcare

    • Federally Qualified Health Center (FQHC)
    • Lincoln City, OR
    • NPI 1205161007

    Operational/Managerial Control

    CMS ownership
  • County of Lincoln

    dba Newport School-Based Health Center

    • Federally Qualified Health Center (FQHC)
    • Newport, OR
    • NPI 1932435377

    Operational/Managerial Control

    CMS ownership
  • County of Lincoln

    dba Coastal Healthcare

    • Federally Qualified Health Center (FQHC)
    • Newport, OR
    • NPI 1992755664

    Operational/Managerial Control

    CMS ownership
  • Inactive - County of Lincoln

    dba Lincoln County Health & Human Services

    • Adult Mental Health Clinic/Center
    • Newport, OR
    • NPI 1326414087

    Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Lincoln County Health & Human ServicesLincoln City, OR, CCN 381893 Federally qualified health center Operational/Managerial Control Jul 1, 2006
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

Owned or controlled facilities with NPI records 4

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

  • County of Lincoln

    dba Lincoln County HHS Coastal Healthcare

    • Federally Qualified Health Center (FQHC)
    • Lincoln City, OR
    • NPI 1205161007

    Operational/Managerial Control

    CMS ownership
  • County of Lincoln

    dba Newport School-Based Health Center

    • Federally Qualified Health Center (FQHC)
    • Newport, OR
    • NPI 1932435377

    Operational/Managerial Control

    CMS ownership
  • County of Lincoln

    dba Coastal Healthcare

    • Federally Qualified Health Center (FQHC)
    • Newport, OR
    • NPI 1992755664

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Inactive - County of Lincoln

    dba Lincoln County Health & Human Services

    • Adult Mental Health Clinic/Center
    • Newport, OR
    • NPI 1326414087

    Other

    CMS ownership

Facilities with the same owner 3

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

  • County of Lincoln

    dba Lincoln County HHS Coastal Healthcare

    • Federally Qualified Health Center (FQHC)
    • Lincoln City, OR
    • NPI 1205161007

    County of Lincoln

    CMS ownership
  • County of Lincoln

    dba Newport School-Based Health Center

    • Federally Qualified Health Center (FQHC)
    • Newport, OR
    • NPI 1932435377

    County of Lincoln

    CMS ownership
  • County of Lincoln

    dba Coastal Healthcare

    • Federally Qualified Health Center (FQHC)
    • Newport, OR
    • NPI 1992755664

    County of Lincoln

    CMS ownership

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 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1942946934",
    "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": "541-265-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N BAY ST",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "973949010",
            "telephone_number": "541-265-4947",
            "fax_number": "541-574-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LINCOLN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LINCOLN",
        "enumeration_date": "2022-05-11",
        "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": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral 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": "500841745",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500836597",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500817645",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213144",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500803847",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Healthcare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Coastal Healthcare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lincoln County BH & Addictions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waldport, OR

Sources for this page

Verify at the official NPI Registry.