Odessa School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ODESSA SCHOOL DISTRICT

Practice address

311 South First Street
Odessa, WA 99159-0248

Phone

(509) 982-2668

Fax

(509) 982-0163

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Douglas L Johnson

Title

Superintendent

Phone

(509) 982-2668

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902824212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SOUTH FIRST STREET",
            "address_2": "PO BOX 248",
            "city": "ODESSA",
            "state": "WA",
            "postal_code": "991590248",
            "telephone_number": "509-982-2668",
            "fax_number": "509-982-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SOUTH FIRST STREET",
            "city": "ODESSA",
            "state": "WA",
            "postal_code": "991590248",
            "telephone_number": "509-982-2668",
            "fax_number": "509-982-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "509-982-2668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7441132",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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
• Providence Health & Services - Washington (Providence Spokane Heart Institute)
• Violet Frances Rice, FNP
• Patricia A Rosman, DDS
• Kerri Ruddell, NP
• Heather Valverde

• Local Education Agency (LEA) in Odessa, WA
• Providers in Odessa, WA by specialty
• Local Education Agency (LEA) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.