Active NPI
Our Lady of Lourdes Hospital at Pasco
Doing business as Lourdes Health and Wellness Center
- Critical Access Hospital
- Pasco, WA
National Provider Identifier
1033473517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- Legal business name
- OUR LADY OF LOURDES HOSPITAL AT PASCO
- Doing business as
- Lourdes Health and Wellness Center
- Practice address
- 4215 Convention PL
Suite B
Pasco, WA 99301-8148 - Phone
- (509) 416-8849
- NPI assigned
- Jun 28, 2012
- 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
- John Serle
- Title
- Ceo
- Phone
- (509) 543-2483
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | |||
| Spinal Cord Injury Medicine Physician | 2081P0004X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Critical Access Hospital | 282NC0060X | Primary |
Addresses
Primary practice location
4215 Convention PL
Suite B
Pasco, WA 99301-8148
Mailing address
4215 Convention PL
Suite B
Pasco, WA 99301-8148
Phone (509) 416-8849
Other names 1
- Lourdes Health and Wellness Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340841600000",
"number": "1033473517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4215 CONVENTION PL",
"address_2": "SUITE B",
"city": "PASCO",
"state": "WA",
"postal_code": "993018148",
"telephone_number": "509-416-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 CONVENTION PL",
"address_2": "SUITE B",
"city": "PASCO",
"state": "WA",
"postal_code": "993018148",
"telephone_number": "509-416-8849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR LADY OF LOURDES HOSPITAL AT PASCO",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-28",
"last_updated": "2012-06-28",
"status": "A",
"authorized_official_last_name": "SERLE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-543-2483"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lourdes Health and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pasco, WA
- Our Lady of Lourdes Health Center (Lourdes West Pasco)
- Our Lady of Lourdes Health Center (Anesthesia Alliance)
- Our Lady of Lourdes Health Center (Lourdes Pulmonary Services)
- Our Lady of Lourdes Health Center (Lourdes Physician Group at the Hospital)
- Our Lady of Lourdes Health Center Dba Lourdes Ear Nose and Throat Asso
- Our Lady of Lourdes Hospital at Pasco (Lourdes Occupational Health Center)
- Our Lady of Lourdes Hospital at Pasco (Lourdes Occupational Health Center)
- Our Lady of Lourdes Hospital at Pasco (Lourdes Urgent Care Radiology)
- Our Lady of Lourdes Hospital at Pasco (Abc Pediatrics)
- Our Lady of Lourdes Hospital at Pasco Dba Lourdes Sleep Lab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.