LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 NPI 1073524690

NPI Information

NPI: 1073524690
Provider Name: LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

Doing Business As: ODESSA MEMORIAL HEALTHCARE CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
502 E. AMENDE
ODESSA, WA
ZIP 99159
Phone: (509) 982-2611
Get Directions

LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 is a critical access general acute care hospital in Odessa, WA. LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 NPI is 1073524690. The provider is registered as an organization entity type.
The provider Is Doing Business As Odessa Memorial Healthcare Center.

The provider's business location address is:

502 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 CLIA number assigned to this NPI record is 50D0661583 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/10/2006 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	282NC0060X	General Acute Care Hospital	Critical Access	H080	WASHINGTON	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	0007015	OTHER	WASHINGTON	LABOR & INDUSTRIES
2	3310505	MEDICAID	WASHINGTON
3	200814200814	OTHER		PREMERA

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: 4/28/2024

NPI Synchronization or Removal

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