Active NPI
Our Lady of Lourdes Health Center
- Urgent Care Clinic/Center
- Pasco, WA
National Provider Identifier
1104093368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001692 | Medicaid | WA |
Other names 1
- Lourdes Urgent Care
National Provider Directory
National Provider DirectoryNPI 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.