Organization Active NPI

County of Lincoln

Doing business as Coastal Healthcare

  • Federally Qualified Health Center (FQHC)
  • Newport, OR
National Provider Identifier
1992755664
Registry record updated Feb 26, 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
Doing business as
Coastal Healthcare
Lincoln County Health & Human Services (FQHC)
Practice address
36 SW Nye St
Newport, OR 97365-3821
Phone
(541) 265-4947
Fax
(541) 574-7670
NPI assigned
May 11, 2006
Last updated
Feb 26, 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 26, 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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Primary Care Clinic/Center 261QP2300X NU
Prison Health Clinic/Center 261QP2400X NU
Student Health Clinic/Center 261QS1000X NU
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

36 SW Nye St
Newport, OR 97365-3821

Mailing address

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

Other practice location 1

1800 NE Sturdevant Rd
Toledo, OR 97391-2413
Phone (541) 265-0473

Other practice location 2

322 NE Eads St
Newport, OR 97365-2819
Phone (541) 265-0472

Other practice location 3

1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604
Phone (541) 265-4947

Other practice location 4

3000 S Crestline Dr
Waldport, OR 97394-9739
Phone (541) 563-7666

Other practice location 5

525 N Bay St
Waldport, OR 97394-9010
Phone (541) 265-4947

Other practice location 6

3780 SE Spy Glass Ridge Dr
Lincoln City, OR 97367-1939
Phone (541) 265-0474

Other practice location 7

255 West Olive St
Newport, OR 97365
Phone (541) 265-0445

Other identifiers 3

IdentifierTypeStateIssuer
042957MedicaidOR
165098MedicaidOR
213144MedicaidOR

Other names 2

  • Coastal Healthcare Doing business as
  • Lincoln County Health & Human Services (FQHC) Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR5 enrollments

Enrollment records 5

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
Practice locations: Lincoln City, OR; Newport, OR; Toledo, OR; Waldport, OR
O20060921000414 OR Part A Provider - Federally Qualified Health Center (FQHC) 3375439862 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lincoln City, OR
O20060921000525 OR Part A Provider - Federally Qualified Health Center (FQHC) 3375439862 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newport, OR
O20060921000550 OR Part A Provider - Federally Qualified Health Center (FQHC) 3375439862 Practice locations: Lincoln City, OR
O20100212000455 OR Part A Provider - Federally Qualified Health Center (FQHC) 3375439862 Practice locations: Newport, OR

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1992755664. Details of each certification follow.

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

Federally qualified health center certification: CCN 381895

Legal name
COUNTY OF LINCOLN
Doing business as
NEWPORT SBHC - COMMUNITY HEALTH CENTER
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
322 NE Eads St
Newport, OR 97365-2819

Federally qualified health center certification: CCN 381891

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
3780 SE Spy Glass Ridge Drive
Lincoln City, OR 97367-1939

Federally qualified health center certification: CCN 381920

Legal name
COUNTY OF LINCOLN
Doing business as
LINCOLN COUNTY HEALTH AND HUMAN SERVICES
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 12, 2010
Last certification
Feb 12, 2010
Ownership / control type
Non-profit – corporation
Organization structure
GovernmentProprietary
Enrollment address
36 SW Nye St
Newport, OR 97365-3821

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 6

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

National Provider Directory

National Provider Directory
Part of
Lincoln Co HLTH Human SVCS

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4422 NE Devils Lake Blvd
Lincoln City, OR 97367
Phone (541) 265-4947

255 SW Coast Hwy
#102
Newport, OR 97365

255 W Olive St
Newport, OR 97365
Phone (541) 265-0445

322 NE Eads St
Newport, OR 97365
Phone (541) 265-0472

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
County of Lincoln Organization, Newport, OR Medical provider/supplier, Non-profit Operational/Managerial Control Jul 1, 2006
5% Or Greater Direct Ownership Interest Jan 1, 1999
Operational/Managerial Control Jan 1, 1999
Lesa Wagner Individual W-2 Managing EmployeeCredentialing Specialist Nov 12, 2019
Valerie Jean Davis Individual Corporate DirectorDeputy Director Jun 1, 2021

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 4

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 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 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1992755664",
    "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": "36 SW NYE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653821",
            "telephone_number": "541-265-4947",
            "fax_number": "541-574-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 NE Sturdevant Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OR",
            "postal_code": "973912413",
            "country_code": "US",
            "telephone_number": "541-265-0473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 NE Eads St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973652819",
            "country_code": "US",
            "telephone_number": "541-265-0472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 SE Jetty Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973672604",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 S CRESTLINE DR",
            "address_purpose": "LOCATION",
            "city": "Waldport",
            "state": "OR",
            "postal_code": "973949739",
            "country_code": "US",
            "telephone_number": "541-563-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Bay St",
            "address_purpose": "LOCATION",
            "city": "Waldport",
            "state": "OR",
            "postal_code": "973949010",
            "country_code": "US",
            "telephone_number": "541-265-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3780 SE Spy Glass Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973671939",
            "country_code": "US",
            "telephone_number": "541-265-0474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 West Olive St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "97365",
            "country_code": "US",
            "telephone_number": "541-265-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF LINCOLN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LINCOLN",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042957",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165098",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213144",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln County Health & Human Services (FQHC)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lincoln County Health & Human Services (FQHC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

Verify at the official NPI Registry.