NPIMap

Organization Active NPI

Lourdes

  • Special Hospital
  • Pasco, WA
National Provider Identifier
1053775841
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
CG60137900 Issued in WA
Legal business name
LOURDES
Doing business as
Lourdes
Practice address
224 N 7TH Ave
Pasco, WA 99301
Phone
(509) 545-4462
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Suzanne Larayne Kieffer, MSW
Title
Co - Occuring Therapist
Phone
50946033664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X CG60137900 WA Primary

Addresses

Primary practice location

224 N 7TH Ave
Pasco, WA 99301

Mailing address

224 N 7TH Ave
Pasco, WA 99301-5411
Phone (509) 554-4462

Other names 1

  • Lourdes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CBHC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

Locations

224 N 7th Ave
Pasco, WA 99301
Phone (509) 545-3390

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1053775841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N 7TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015411",
            "telephone_number": "509-554-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N 7TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "99301",
            "telephone_number": "509-545-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "LARAYNE",
        "authorized_official_title_or_position": "CO - OCCURING THERAPIST",
        "authorized_official_telephone_number": "50946033664",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "WA",
            "license": "CG60137900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.