LINCOLN COUNTY HOSPITAL DISTRICT 3
NPI 1093819211
Skilled Nursing Facility in Davenport, WA

Active since September 08, 2006
10 NICHOLLS ST, DAVENPORT, WA 99122(509) 725-2979(509) 725-2112 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 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 1093819211) is a healthcare organization registered as a skilled nursing facility in Davenport, Washington and active in the NPI registry since September 2006. The organization lists Tyson E Lacy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093819211
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLINCOLN COUNTY HOSPITAL DISTRICT 3
Location Address10 NICHOLLS STDavenport, WA 99122-9729
Mailing Address10 Nicholls StDavenport, WA 99122-9729 · (509) 725-2979 · Fax (509) 725-2112
Fax(509) 725-2112
Organization SubpartYes
Authorized OfficialTyson E LacyCeo · (509) 725-2979
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJune 8, 2026
NPPES CertifiedJune 8, 2026
✔ NPI 1093819211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in WA · H-137
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
10 NICHOLLS ST, Davenport, WA 99122

Other Names 1

Other NameLincoln Hospital Skilled Nursing Facility

Other Identifiers 4

OtherCJ6525WA · Medicare Railroad
Medicaid4213708WA
Medicaid7117450WA
Medicaid7101132WA

Accepted Insurance

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)

Hospitalist
NPI 1225617780
10 NICHOLLS ST
Davenport, WA 99122
(214) 596-8014
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1740256759
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-6560
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124140116
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1992215388
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912632381
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1720028244
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1508846353
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1396782272
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1700222890
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1467411157
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1174819593
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-6560
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346732633
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ Accepts MedicareSame address
Family Practice
NPI 1205491164
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7101
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1114410073
10 NICHOLLS ST
Davenport, WA 99122
(509) 725-7501
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1073554119
100 3RD ST SUITE 1
Davenport, WA 99122
(509) 725-7501
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1841790268
550 E BROADWAY AVE
Reardan, WA 99029
(509) 796-2737
✔ PECOS✔ Accepts Medicare13 mi
Endocrinology
NPI 1528026820
6506 S DEVONSHIRE CT
Spokane, WA 99223
(509) 998-1045
✔ PECOS35 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1316033210
12509 E MISSION AVE STE 101
Spokane Valley, WA 99216
(509) 928-3600
✔ Accepts Medicare42 mi
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 1093819211. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is also known as Lincoln Hospital Skilled Nursing Facility.

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) 725-2979.

What is Lincoln County Hospital District 3's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

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.

What insurance does Lincoln County Hospital District 3 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lincoln County Hospital District 3 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 5 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.