LINCOLN COUNTY HOSPITAL DISTRICT 3
NPI 1558309518
Clinic/Center - Rural Health in Davenport, WA

Active since June 03, 2006
10 NICHOLLS ST, DAVENPORT, WA 99122(509) 725-7501(509) 725-7504 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 7, 2022, Feb 11, 2019 (2 updates tracked since 2019).

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 1558309518), doing business as Davenport Clinic, is a healthcare organization registered as a rural health in Davenport, Washington and active in the NPI registry since June 2006. The organization lists Tyson Lacy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558309518
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLINCOLN COUNTY HOSPITAL DISTRICT 3
Location Address10 NICHOLLS STDavenport, WA 99122-9729
Mailing Address10 Nicholls StDavenport, WA 99122-9729 · (509) 725-7501 · Fax (509) 725-7504
Fax(509) 725-7504
Organization SubpartYesParent: Lincoln County Hospital District #3
Authorized OfficialTyson LacyCeo · (509) 725-2979
Enumeration DateJune 3, 2006
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1558309518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X · License H-137 (WA)
Also ListedSurgeryTaxonomy 208600000X · License H-137 (WA)
10 NICHOLLS ST, Davenport, WA 99122

Other Names 2

Doing Business AsDavenport Clinic
Doing Business AsNorth Basin Medical Clinics--davenport Clinic

Other Identifiers 3

Medicaid7101132WA
Medicaid7117450WA
OtherCJ6525WA · Medicare Railroad

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1558309518. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Davenport Clinic and North Basin Medical Clinics--Davenport Clinic.

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) 725-7501.

What is Lincoln County Hospital District 3's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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 Ambetter Health and 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.