# LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Odessa Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740317544
- **Authorized official:** JIM PARKER (CEO)
- **Authorized official phone:** (509) 982-2611

## Contact information

- **Practice address:** 510 E AMENDE DR, ODESSA, WA 99159-7003
- **Practice address phone:** (509) 982-2611
- **Practice address fax:** (509) 982-2675
- **Mailing address:** PO BOX 190, ODESSA, WA 99159-0190
- **Mailing address phone:** (509) 982-2614
- **Mailing address fax:** (509) 982-2675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 09/23/2026
