LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1; NPI #1245343193

Contact Information

LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

502 E AMENDE
ODESSA, WA 99159

Phone: 509-982-2611
Fax: 509-982-2159
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

NPI Number 1245343193

LBN Legal business name LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

Authorized official JOHN SERLE - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/16/2006

Last updated 04/20/2021 - About 5 years ago

Identifiers

WA	License #	H-080
WA	Medicaid	9038936
WA	Other	129183	DEPT LABOR & INDUSTRIES

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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