Active NPI
Lincoln County Public Hospital District 1
Doing business as Odessa Memorial Healthcare Center Health Homes
- Case Management Agency
- Odessa, WA
National Provider Identifier
1497251219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1
- Doing business as
- Odessa Memorial Healthcare Center Health Homes
- Practice address
- 502 E Amende Dr
Odessa, WA 99159-7003 - Phone
- (509) 982-2611
- Fax
- (509) 982-2616
- NPI assigned
- Apr 2, 2018
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Parker
- Title
- Ceo
- Phone
- (509) 982-2611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
502 E Amende Dr
Odessa, WA 99159-7003
Mailing address
PO Box 368
Odessa, WA 99159-0368
Phone (509) 982-2611
Other names 1
- Odessa Memorial Healthcare Center Health Homes
National Provider Directory
National Provider Directory- Tax ID family
- Lincoln County Public Hospital District 1
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Odessa Rural Health Clinic
- Rural Health Clinic/Center
- Odessa, WA
- NPI 1023122520
-
dba Odessa Memorial Healthcare Center
- Critical Access Hospital
- Odessa, WA
- NPI 1073524690
-
dba Quail Court
- Assisted Living Facility
- Odessa, WA
- NPI 1114031614
-
dba Odessa Memorial Healthcare Center
- Ambulance
- Odessa, WA
- NPI 1245343193
-
dba Odessa Memorial Healthcare Center
- Skilled Nursing Facility
- Odessa, WA
- NPI 1477666311
-
dba Odessa Memorial Healthcare Center
- Medicare Defined Swing Bed Hospital Unit
- Odessa, WA
- NPI 1639283971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1497251219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "ODESSA",
"state": "WA",
"postal_code": "991590368",
"telephone_number": "509-982-2611",
"fax_number": "509-982-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 E AMENDE DR",
"city": "ODESSA",
"state": "WA",
"postal_code": "991597003",
"telephone_number": "509-982-2611",
"fax_number": "509-982-2616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-02",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-982-2611"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Odessa Memorial Healthcare Center Health Homes",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Odessa Memorial Healthcare Center Health Homes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Odessa, WA
- Lincoln County Public Hospital District 1 (Odessa Rural Health Clinic)
- Lincoln County Public Hospital District 1 (Odessa Memorial Healthcare Center)
- Lincoln County Public Hospital District 1 (Quail Court)
- Lincoln County Public Hospital District 1 (Odessa Memorial Healthcare Center)
- Lincoln County Public Hospital District 1 (Odessa Memorial Healthcare Center)
- Lincoln County Public Hospital District 1 (Odessa Memorial Healthcare Center)
- Lincoln County Public Hospital District 1 (Odessa Clinic)
- Mario Cesar Montano, MSW
- Janelle Rae Moore
- Odessa Drugs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.