Organization Active NPI

Our Lady of Lourdes Health Center

  • Urgent Care Clinic/Center
  • Pasco, WA
National Provider Identifier
1104093368
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
OUR LADY OF LOURDES HEALTH CENTER
Doing business as
Lourdes Urgent Care
Practice address
5304 N Road 68
Pasco, WA 99301-9189
Phone
(509) 543-9300
Fax
(509) 545-5049
NPI assigned
May 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
John Serle
Title
President and Ceo
Phone
(509) 543-2483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X WA Primary

Addresses

Primary practice location

5304 N Road 68
Pasco, WA 99301-9189

Mailing address

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 543-9300

Other identifiers 1

IdentifierTypeStateIssuer
2001692MedicaidWA

Other names 1

  • Lourdes Urgent Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1104093368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-543-9300",
            "fax_number": "509-545-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 N ROAD 68",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019189",
            "telephone_number": "509-543-9300",
            "fax_number": "509-545-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "SERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "509-543-2483"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001692",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Urgent Care",
            "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 May 12, 2015; 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.