NPIMap

Organization Active NPI

Lourdes Health Network

  • Mental Illness Community Based Residential Treatment Facility
  • Richland, WA
National Provider Identifier
1295288819
Registry record updated Aug 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
602-813-810 Issued in WA
Legal business name
LOURDES HEALTH NETWORK
Practice address
1175 Carondelet Dr
Richland, WA 99354-3300
Phone
(509) 943-9104
NPI assigned
Aug 1, 2016
Last updated
Aug 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ASCENSION HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2016

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

Authorized official

Name
Mr. Jose A. Mnedez, M.S.
Title
Residential Services Case Manager
Phone
(509) 303-8422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 602-813-810 WA Primary

Addresses

Primary practice location

1175 Carondelet Dr
Richland, WA 99354-3300

Mailing address

207 Canyon Dr
Prosser, WA 99350-1009
Phone (509) 303-8422

National Provider Directory

National Provider Directory
Tax ID family
Daniel L McIver MD20 organizations share this tax ID, including this one
Part of
Ascension Health

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1295288819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CANYON DR",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501009",
            "telephone_number": "509-303-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CARONDELET DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543300",
            "telephone_number": "509-943-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASCENSION HEALTH",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "MNEDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "RESIDENTIAL SERVICES CASE MANAGER",
        "authorized_official_telephone_number": "509-303-8422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WA",
            "license": "602-813-810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.