LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 NPI 1023122520

NPI Information

NPI: 1023122520
Provider Name: LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

Doing Business As: ODESSA RURAL HEALTH CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
510 E AMENDE
ODESSA, WA
ZIP 99159
Phone: (509) 982-2611
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LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 is a rural health clinic center in Odessa, WA. LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 NPI is 1023122520. The provider is registered as an organization entity type.
The provider Is Doing Business As Odessa Rural Health Clinic.

The provider's business location address is:

510 E AMENDE
ODESSA, WA
ZIP 99159
Phone: (509) 982-2611
Fax: (509) 982-2159

The provider's authorized official is John Serle .
The authorized official title is Ceo and has the following contact phone number (509) 982-2611.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 4/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7105539	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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