Healthcare Provider Details

I. General information

NPI: 1639283971
Provider Name (Legal Business Name): LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E. 502 AMENDE
ODESSA WA
99159
US

IV. Provider business mailing address

PO BOX 368
ODESSA WA
99159-0368
US

V. Phone/Fax

Practice location:
  • Phone: 509-982-2611
  • Fax: 509-982-2159
Mailing address:
  • Phone: 509-982-2611
  • Fax: 509-982-2159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number StateNULL

VIII. Authorized Official

Name: AUDRA MERKLE
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 509-982-2611