Lincoln County Public Hospital District 1
A Medicare group practice based in Odessa, WA: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 1052209152), with 15 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1052209152
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- WA
- Enrollments
- 4
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040309001439 | WA | Part B Supplier - Clinic/Group Practice | 1740317544 |
| O20070625000254 | WA | Part A Provider - Critical Access Hospital | 1639283971 |
| O20041215000890 | WA | Part A Provider - Critical Access Hospital | 1073524690 |
| O20041221000415 | WA | Part A Provider - Rural Health Clinic | 1023122520 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lincoln County Public Hospital District 1
dba Odessa Rural Health Clinic
- Rural Health Clinic/Center
- Odessa, WA
- NPI 1023122520
-
Lincoln County Public Hospital District 1
dba Odessa Memorial Healthcare Center
- Critical Access Hospital
- Odessa, WA
- NPI 1073524690
-
Lincoln County Public Hospital District 1
dba Odessa Memorial Healthcare Center
- Medicare Defined Swing Bed Hospital Unit
- Odessa, WA
- NPI 1639283971
-
Lincoln County Public Hospital District 1
dba Odessa Clinic
- Family Medicine Physician
- Odessa, WA
- NPI 1740317544
-
Lincoln County Public Hospital District 1
dba Odessa Memorial Healthcare Center
- Ambulance
- Odessa, WA
- NPI 1245343193
Practice locations
- Odessa, WA4
Clinicians 15
Clinicians who reassign their Medicare benefits to this group (15) or whom Care Compare lists as members (6).
-
Mohan Ashok Kumar, MD
- Cardiovascular Disease Physician
- Tacoma, WA
- NPI 1093027088
-
Michelle M Bailey, PA-C
- Medical Physician Assistant
- Missoula, MT
- NPI 1447376991
-
Omavi Bailey, MD MPH
- Sleep Medicine (Family Medicine) Physician
- Fayetteville, NC
- NPI 1982010203
-
Catherine Elisabeth Clift, ARNP
- Nurse Practitioner
- Wenatchee, WA
- NPI 1831654524
-
James T. Dedeaux Jr., MSW
- Clinical Social Worker
- Odessa, WA
- NPI 1720275837
-
Heath Gabriel Dehart, PA-C
- Physician Assistant
- St George, UT
- NPI 1851788590
-
Laurie Susanne Edinger, FNP
- Nurse Practitioner
- Moscow, ID
- NPI 1720194954
-
Mark A Frazier, MD
- Family Medicine Physician
- Price, UT
- NPI 1326066572
-
Kay Gentry, ARNP
- Nurse Practitioner
- Bellingham, WA
- NPI 1689123622
-
Caylon W. Haggard, PA-C
- Physician Assistant
- Ritzville, WA
- NPI 1902042765
-
Tonya Denise Johnson, APRN
- Family Nurse Practitioner
- Paducah, KY
- NPI 1285034629
-
Jason Edward Kimm, FNP
- Family Nurse Practitioner
- Olathe, KS
- NPI 1144749672
-
Jakdej Nikomborirak, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Sunnyside, WA
- NPI 1477542447
-
Kerri Ruddell, NP
- Family Nurse Practitioner
- Odessa, WA
- NPI 1174183578
-
Elizabeth Stuhlmiller, M.D.
- Family Medicine Physician
- Spokane, WA
- NPI 1477816502
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.