NPIMap

Organization Active NPI

Our Lady of Lourdes Heath Center

  • Primary Care Clinic/Center
  • Richland, WA
National Provider Identifier
1356592489
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
113003371 Issued in WA
Legal business name
OUR LADY OF LOURDES HEATH CENTER
Practice address
112 Columbia Point Dr
Suite 103
Richland, WA 99352-4390
Phone
(509) 943-7997
Fax
(509) 943-7955
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 113003371 WA Primary

Addresses

Primary practice location

112 Columbia Point Dr
Suite 103
Richland, WA 99352-4390

Mailing address

112 Columbia Point Dr
Suite 103
Richland, WA 99352-4390
Phone (509) 943-7997

Other identifiers 1

IdentifierTypeStateIssuer
7144314MedicaidWA

Other names 1

  • LOURDES COLUMBIA POINT Doing business as

National Provider Directory

National Provider Directory

Locations

7425 Wrigley Dr
Pasco, WA 99301
Phone (509) 416-8888

112 Columbia Point Dr
Ste 103
Richland, WA 99352
Phone (509) 747-6707

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1356592489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR",
            "address_2": "SUITE 103",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-943-7997",
            "fax_number": "509-943-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COLUMBIA POINT DR",
            "address_2": "SUITE 103",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524390",
            "telephone_number": "509-943-7997",
            "fax_number": "509-943-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEATH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "SERLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "509-543-2483"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "113003371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7144314",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOURDES COLUMBIA POINT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 2009; 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.