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Lincoln County Care Center Llc

Lincoln County Care Center Llc is a health care provider in Pocatello, ID. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 511 E 4th St, Shoshone, ID 83352-5380, US
Practice Location Phone208-886-2228
Practice Location Fax208-886-2549
Legal Business NameLINCOLN COUNTY CARE CENTER LLC
NPI ?1124335476
Entity TypeOrganization
Enumeration Date ? Sep 8, 2010
Last Update Date ? Sep 8, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Lincoln County Care Center Llc

SpecialtySpecializationLicenseLicense State
Skilled Nursing Facility 20Idaho

legacy-id-icon Legacy Provider IDs of Lincoln County Care Center Llc

Provider IdIssuer StateIssuer TypeIssuer
135056IdahoMedicare Oscar/certification

official-icon Authorized Official of Lincoln County Care Center Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Lincoln County Care Center Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. James B Everton
Authorized Official Title/PositionCEO
Authorized Official Phone Number208-233-4673