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LINCOLN COUNTY HOSPITAL DISTRICT 3
NPI 1013027218
General Acute Care Hospital in Davenport, WA

Active since August 30, 2006
10 NICHOLLS ST, DAVENPORT, WA 99122(509) 725-7101(509) 725-2112 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lincoln County Hospital District 3 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LINCOLN COUNTY HOSPITAL DISTRICT 3 (NPI 1013027218) is a healthcare organization registered as a general acute care hospital in Davenport, Washington and active in the NPI registry since August 2006. The organization lists Tyson E Lacy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013027218
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameLINCOLN COUNTY HOSPITAL DISTRICT 3
Location Address10 NICHOLLS STDavenport, WA 99122-9729
Mailing Address10 Nicholls StDavenport, WA 99122-9729 · (509) 725-7101 · Fax (509) 725-2112
Phone(509) 725-7101
Fax(509) 725-2112
Organization SubpartYes
Authorized OfficialTyson E LacyCeo · (509) 725-2979
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1013027218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in WA · H-137
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
10 NICHOLLS ST, Davenport, WA 99122
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Other Names 1

Other NameLincoln Hospital Swing Bed

Other Identifiers 4

Medicaid7117450WA
Medicaid4231708WA
Medicaid7101132WA
OtherCJ6525WA · Medicare Railroad

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lincoln County Hospital District 3 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Lincoln County Hospital District 3, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 15 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 10

Family Practice6
Nurse Practitioner3
Certified Registered Nurse Anesthetist (CRNA)2
Clinical Social Worker2
Emergency Medicine1
Endocrinology1
General Surgery1
Hospitalist1
2 other specialties2

Clinicians, nearest first (19)

Po-Lun Chou, MD
Hospitalist
NPI 1225617780
10 NICHOLLS ST
Davenport, WA 99122
(214) 596-8014
✔ PECOS✔ Accepts MedicareSame address
James Dunlap, M.D.
Orthopedic Surgery
NPI 1740256759
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-6560
✔ PECOS✔ Accepts MedicareSame address
Amy Hiestand, NP
Nurse Practitioner
NPI 1124140116
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ PECOS✔ Accepts MedicareSame address
Karen Keith, LCSW
Clinical Social Worker
NPI 1992215388
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Janell Long, ARNP
Nurse Practitioner
NPI 1912632381
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Chad Mongrain, DO
Family Practice
NPI 1720028244
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Karl Olson, MD
Emergency Medicine
NPI 1508846353
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Rolf Panke, DO
Family Practice
NPI 1396782272
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Amanda Rafter, D.O
Internal Medicine
NPI 1700222890
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ PECOS✔ Accepts MedicareSame address
Frederick Reed, M.D.
Family Practice
NPI 1467411157
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Raaj Ruparel, MD
General Surgery
NPI 1174819593
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-6560
✔ PECOS✔ Accepts MedicareSame address
Paul Travis, DNP, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346732633
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ Accepts MedicareSame address
Benjamin Wainblat, MD
Family Practice
NPI 1205491164
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ PECOS✔ Accepts MedicareSame address
Kara Wesebaum, LCSW
Clinical Social Worker
NPI 1114410073
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Donella Young, MD
Family Practice
NPI 1073554119
100 3RD ST SUITE 1
Davenport, WA 99122
(509) 725-7501
✔ PECOS0.1 mi
Brian Yoon, ARNP
Nurse Practitioner
NPI 1841790268
550 E BROADWAY AVE
Reardan, WA 99029
(509) 796-2737
✔ PECOS✔ Accepts Medicare13 mi
Lynn Kohlmeier, M.D.
Endocrinology
NPI 1528026820
6506 S DEVONSHIRE CT
Spokane, WA 99223
(509) 998-1045
✔ PECOS35 mi
Steven Beckstrom, CRNA, MAE
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316033210
12509 E MISSION AVE STE 101
Spokane Valley, WA 99216
(509) 928-3600
✔ Accepts Medicare42 mi
Dean Kubacz, MD
Family Practice
NPI 1023276896
423 N THIRD AVE
Sandpoint, ID 83864
(208) 263-1441
✔ PECOS✔ Accepts Medicare85 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lincoln County Hospital District 3's NPI number?

The NPI number for Lincoln County Hospital District 3 is 1013027218. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is also known as Lincoln Hospital Swing Bed.

Where is Lincoln County Hospital District 3 located?

Lincoln County Hospital District 3 is located at 10 Nicholls St, Davenport, WA 99122. The listed phone number is (509) 725-7101.

What is Lincoln County Hospital District 3's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is Lincoln County Hospital District 3 enrolled in Medicare?

Yes. Lincoln County Hospital District 3 is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lincoln County Hospital District 3?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 10 Medicare specialties reassign their Medicare billing to Lincoln County Hospital District 3. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Nurse Practitioner (3) and Certified Registered Nurse Anesthetist (CRNA) (2). Of these, 14 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lincoln County Hospital District 3 was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.