NPIMap

Organization Active NPI

Lincoln County Public Hospital District 1

Doing business as Odessa Memorial Healthcare Center

  • Medicare Defined Swing Bed Hospital Unit
  • Odessa, WA
National Provider Identifier
1639283971
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1
Doing business as
Odessa Memorial Healthcare Center
Practice address
E. 502 Amende
Odessa, WA 99159
Phone
(509) 982-2611
Fax
(509) 982-2159
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Audra Merkle
Title
Executive Assistant
Phone
(509) 982-2611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

E. 502 Amende
Odessa, WA 99159

Mailing address

PO Box 368
Odessa, WA 99159-0368
Phone (509) 982-2611

Other identifiers 2

IdentifierTypeStateIssuer
4208005MedicaidWA
184074OtherLABOR & INDUSTRIES

Other names 1

  • Odessa Memorial Healthcare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070625000254 WA Part A Provider - Critical Access Hospital 1052209152 Practice locations: Odessa, WA

Hospital certification: CCN 50Z307

Legal name
LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1
Doing business as
ODESSA MEMORIAL HEALTHCARE CENTER
Organization structure
OtherNon-profit
Incorporated
Nov 5, 1946 in WA
Enrollment address
510 E Amende Drive
Odessa, WA 99159
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Linda Powell MD7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lincoln County Public Hospital District 1 Organization, Odessa, WA 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Brian Fink Individual Corporate DirectorBoard Chairman Jan 1, 2019
Kimberly Dalrymple Individual Corporate OfficerChief Financial Officer Jan 8, 2021
W-2 Managing EmployeeCfo Jan 8, 2021
John Serle Individual Corporate OfficerChief Executive Officer Mar 1, 2021
W-2 Managing EmployeeCeo Mar 1, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Odessa Memorial Healthcare CenterOdessa, WA, CCN 501307 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Odessa ClinicOdessa, WA, CCN 508501 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1639283971",
    "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": "509-982-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E. 502 AMENDE",
            "city": "ODESSA",
            "state": "WA",
            "postal_code": "99159",
            "telephone_number": "509-982-2611",
            "fax_number": "509-982-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "MERKLE",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "509-982-2611"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4208005",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "184074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Memorial Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Odessa Memorial Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, WA

Sources for this page

Verify at the official NPI Registry.