ODESSA MEMORIAL HEALTHCARE CENTER – NPI #1073524690
General Acute Care Hospital

ODESSA MEMORIAL HEALTHCARE CENTER is a general acute care hospital located in ODESSA, WA. NPPES has assigned the NPI number 1073524690 to ODESSA MEMORIAL HEALTHCARE CENTER on August 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ODESSA MEMORIAL HEALTHCARE CENTER” is a dba name, the actual legal business name for this organization is LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 5 years ago on Apr 20, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ODESSA MEMORIAL HEALTHCARE CENTER below.

NPI Profile for
LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

NPI Number
1073524690
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1
Doing Business As (dba): ODESSA MEMORIAL HEALTHCARE CENTER
Primary location
502 E. AMENDE
ODESSA, WA 99159
Phone: (509) 982-2611 Fax: (509) 982-2159
Mailing address
PO BOX 368
ODESSA, WA 99159-0368
Phone: (509) 982-2611 Fax: (509) 982-2159
Organization Subpart
No
Authorized Official
JOHN SERLE
CEO
Phone: (509) 982-2611
Updated
Certification Date
Apr 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ODESSA MEMORIAL HEALTHCARE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLABOR & INDUSTRIESWA0007015
OTHERPREMERA200814200814
MEDICAIDWA3310505
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)
WA H080

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.