Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lincoln County Hospital District #3 / North Basin Medical Clinics

Organization Family Medicine Physician · NPI 1053527853

Lincoln County Hospital District #3 / North Basin Medical Clinics is a Family Medicine Physician in Davenport, Washington. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

10 Nicholls St
Davenport, WA 99122-9729
Phone: (509) 725-7501
Fax: (509) 725-7504
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1053527853
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLincoln County Hospital District 3
Authorized official Tyson Lacy — Ceo · (509) 725-2979
Other names North Basin Medical Clinics; North Basin Medical Clinics
NPI enumeratedMay 16, 2007
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address10 Nicholls St, Davenport, WA 99122-9729

Other providers in Davenport