LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 (NPI# 1477666311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477666311 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1 |
| Other Organization Name | ODESSA MEMORIAL HEALTHCARE CENTER |
| Practice Address |
502 E. Amende Odessa WA 99159 |
| Mailing Address |
Po Box 368 Odessa WA 99159-0368 |
| Practice Telephone | 5099822611 |
| Practice Fax Number | 5099822159 |
| Mailing Telephone | 5099822611 |
| Mailing Fax Number | 5099822159 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | EMMETT SCHUSTER (CEO) |
| Authorized Official Telephone | 5099822611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 4208005 | 05 |
| Other Name | Type Code |
|---|---|
| Odessa Memorial Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023122520 | Lincoln County Public Hospital District 1 | Clinic/Center | 510 E Amende, Odessa, WA 99159 | 2006-08-19 |
| 1114031614 | Lincoln County Public Hospital District 1 | Assisted Living Facility | 506 E. Amende, Odessa, WA 99159 | 2006-08-19 |
| 1639283971 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | E. 502 Amende, Odessa, WA 99159 | 2006-08-17 |
| 1245343193 | Lincoln County Public Hospital District 1 | Ambulance | 502 E Amende, Odessa, WA 99159 | 2006-08-16 |
| 1073524690 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | 502 E. Amende, Odessa, WA 99159 | 2006-08-10 |
| 1497251219 | Lincoln County Public Hospital District 1 | Case Management | 502 E Amende Dr, Odessa, WA 99159-7003 | 2018-04-02 |
| 1740317544 | Lincoln County Public Hospital District 1 | Family Medicine | 510 E. Amende, Odessa, WA 99159 | 2007-02-27 |
| Street Address |
502 E. AMENDE |
| City | ODESSA |
| State | WA |
| Zip Code | 99159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073524690 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | 502 E. Amende, Odessa, WA 99159 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831683168 | Gregg Liedtka Dmd Pllc | Dentist | 20 W 1st Ave, Odessa, WA 99159 | 2018-06-20 |
| 1891845046 | Troy D. Eldridge Sr. | Chiropractor | 18 W. 1st Avenue, Odessa, WA 99159 | 2007-01-11 |
| 1780746859 | Marlene K Brendell | Family Medicine | 510 E. Amende, Odessa, WA 99159 | 2006-12-15 |
| 1023122520 | Lincoln County Public Hospital District 1 | Clinic/Center | 510 E Amende, Odessa, WA 99159 | 2006-08-19 |
| 1114031614 | Lincoln County Public Hospital District 1 | Assisted Living Facility | 506 E. Amende, Odessa, WA 99159 | 2006-08-19 |
| 1639283971 | Lincoln County Public Hospital District 1 | General Acute Care Hospital | E. 502 Amende, Odessa, WA 99159 | 2006-08-17 |
| 1245343193 | Lincoln County Public Hospital District 1 | Ambulance | 502 E Amende, Odessa, WA 99159 | 2006-08-16 |
| 1699977561 | Eldridge Chiropractic Ps | Chiropractor | 18 W. 1st Avenue, Odessa, WA 99159 | 2007-06-04 |
| 1740317544 | Lincoln County Public Hospital District 1 | Family Medicine | 510 E. Amende, Odessa, WA 99159 | 2007-02-27 |
| 1407162571 | Providence Health & Services - Washington | Internal Medicine | 510 E Amende Drive, Odessa, WA 99159-0000 | 2010-08-26 |
| Find all providers in zip 99159 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780035667 | Brent Edward Lawler Sr. | Skilled Nursing Facility | 2508 Adams Ave, Odessa, TX 79761-1349 | 2016-06-22 |
| 1104269448 | Uptown Fs, LLC | Skilled Nursing Facility | 5001 Office Park, Odessa, TX 79762 | 2013-04-16 |
| 1306897806 | Ggnsc Odessa LLC | Skilled Nursing Facility | 609 Golf St, Odessa, MO 64076-1462 | 2006-05-12 |
| 1134107683 | Buena Vida Health Services, Inc. | Skilled Nursing Facility | 3800 Englewood Ln, Odessa, TX 79762-7073 | 2006-01-05 |
| 1922095413 | Deerings Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1020 N County Rd W, Odessa, TX 79763-3436 | 2005-09-30 |
| 1013903889 | Sienna Nursing and Rehabilitation Lp | Skilled Nursing Facility | 2510 W 8th St, Odessa, TX 79763-3618 | 2005-09-27 |
| 1619515350 | Odessa IIi Enterprises, LLC | Skilled Nursing Facility | 2510 W 8th St, Odessa, TX 79763-3618 | 2019-12-12 |
| 1285272922 | Odessa II Enterprises, LLC | Skilled Nursing Facility | 1020 N County Rd W, Odessa, TX 79763-3436 | 2019-12-12 |
| 1770143521 | Odessa I Enterprises, LLC | Skilled Nursing Facility | 3800 Englewood Ln, Odessa, TX 79762-7073 | 2019-06-14 |
| 1225554421 | Fpacp Odessa LLC | Skilled Nursing Facility | 2443 W 16th St, Odessa, TX 79763-2701 | 2017-08-18 |
| Find all providers in ODESSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.