Our Lady of Lourdes Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OUR LADY OF LOURDES HEALTH CENTER

Doing business as

Lourdes 14th Avenue Medical Group

Practice address

1200 N 14TH Ave
Pasco, WA 99301-4182

Phone

(509) 547-7704

NPI assigned

Apr 20, 2011

Organization subpart

No

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 1

Addresses

Other names 1

• Lourdes 14th Avenue Medical Group Doing business as

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1093006447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N 14TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014182",
            "telephone_number": "509-547-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes 14th Avenue Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reggie C Orozco, DDS
• Shawna Orozco
• Ruby Maria Ortiz
• Rosemarie Tricia Osborn, M.ED, MHCA
• Our Lady of Lourdes at Pasco
• Our Lady of Lourdes Health Center
• Our Lady of Lourdes Health Center
• Our Lady of Lourdes Health Center
• Our Lady of Lourdes Health Center
• Our Lady of Lourdes Health Center

• Family Medicine Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.