Active NPI
Our Lady of Lourdes Health Center
Doing business as Lourdes Hospitalist Program
- Hospitalist Physician
- Pasco, WA
National Provider Identifier
1366682973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 113003371
- Legal business name
- OUR LADY OF LOURDES HEALTH CENTER
- Doing business as
- Lourdes Hospitalist Program
- Practice address
- 520 N 4TH Ave
Pasco, WA 99301-5257 - Phone
- (509) 547-7704
- NPI assigned
- Feb 23, 2009
- Organization subpart
- Yes
- Parent organization
- OUR LADY OF LOURDES HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Serle
- Title
- President & Ceo
- Phone
- (509) 543-2483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 113003371 | WA | Primary |
Addresses
Primary practice location
520 N 4TH Ave
Pasco, WA 99301-5257
Mailing address
520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8855265 | Other | WA | PTAN |
Other names 1
- Lourdes Hospitalist Program
National Provider Directory
National Provider Directory- Part of
- CBHC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236297600000",
"number": "1366682973",
"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": "509-547-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 N 4TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015257",
"telephone_number": "509-547-7704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OUR LADY OF LOURDES HEALTH CENTER",
"enumeration_date": "2009-02-23",
"last_updated": "2009-03-06",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "WA",
"license": "113003371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G8855265",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lourdes Hospitalist Program",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pasco, WA
- Our Lady of Lourdes Health Center (Lourdes 14th Avenue Medical Group)
- Our Lady of Lourdes Health Center (Lourdes Urgent Care)
- Our Lady of Lourdes Health Center (Associated Family Specialists)
- Our Lady of Lourdes Health Center (Lourdes Riverview Medical Group)
- Our Lady of Lourdes Health Center (Lourdes Womens Center)
- Our Lady of Lourdes Health Center (Lourdes Surgical Assoicates)
- Our Lady of Lourdes Health Center (Lourdes Urology East)
- Our Lady of Lourdes Health Center (Lourdes West Pasco)
- Our Lady of Lourdes Health Center (Anesthesia Alliance)
- Our Lady of Lourdes Health Center (Lourdes Pulmonary Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.