ODESSA CLINIC
NPI 1740317544
Family Medicine in Odessa, WA

Active since February 27, 2007CLIA 50D0638853 · Microscopy
510 E. AMENDE, ODESSA, WA 99159(509) 982-2611(509) 982-2675 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2021, Mar 17, 2020 (2 updates tracked since 2020).

About Odessa Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODESSA CLINIC (NPI 1740317544) is a healthcare organization registered as a family medicine in Odessa, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists John Serle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740317544
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1
Location Address510 E. AMENDEOdessa, WA 99159
Mailing AddressPo Box 190Odessa, WA 99159 · (509) 982-2611 · Fax (509) 982-2675
Fax(509) 982-2675
Organization SubpartNo
Authorized OfficialJohn SerleCeo · (509) 982-2611
Enumeration DateFebruary 27, 2007
Last NPPES UpdateApril 20, 20212 updates tracked since enumeration
NPPES CertifiedApril 20, 2021
NPI 1740317544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
510 E. AMENDE, Odessa, WA 99159

Other Names 1

Doing Business AsOdessa Clinic

Other Identifiers 1

Medicaid7013337WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0638853

Odessa Clinic · Odessa, WA
Active · expires Apr 4, 2028
CLIA Number50D0638853
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorA B. Harris
Laboratory Phone(509) 982-2614
Laboratory LocationOdessa ClinicEast 510 Amende Drive, Odessa, WA 99159
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
510 E. AMENDE
ODESSA, WA 99159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lincoln County Public Hospital District 1's NPI number?

The NPI number for Lincoln County Public Hospital District 1 is 1740317544. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Odessa Clinic.

Where is Lincoln County Public Hospital District 1 located?

Lincoln County Public Hospital District 1 is located at 510 E. Amende, Odessa, WA 99159. The listed phone number is (509) 982-2611.

What is Lincoln County Public Hospital District 1's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lincoln County Public Hospital District 1 hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D0638853) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lincoln County Public Hospital District 1 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Lincoln County Public Hospital District 1 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lincoln County Public Hospital District 1 was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.