ODESSA CLINIC – NPI #1740317544
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ODESSA CLINIC is a provider located in ODESSA, WA. NPPES has assigned the NPI number 1740317544 to ODESSA CLINIC on February 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ODESSA CLINIC” 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 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

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 CLINIC below.

NPI Profile for
LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

NPI Number
1740317544
Enumeration Date

(more than 19 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 CLINIC
Primary location
510 E. AMENDE
ODESSA, WA 99159
Phone: (509) 982-2611 Fax: (509) 982-2675
Mailing address
PO BOX 190
ODESSA, WA 99159
Phone: (509) 982-2611 Fax: (509) 982-2675
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 CLINIC

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
MEDICAIDWA7013337
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
207Q00000X
- Family Medicine (Primary)

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.