NPIMap

Organization Active NPI

Lourdes Medical Pavilion

  • Ambulatory Surgical Clinic/Center
  • Paducah, KY
National Provider Identifier
1386826261
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
300114 Issued in KY
Legal business name
LOURDES MEDICAL PAVILION
Practice address
225 Medical Center Dr Ste 105
Paducah, KY 42003-7914
Phone
(270) 441-4500
Fax
(270) 441-4171
NPI assigned
Dec 3, 2007
Last updated
Dec 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Jim Wring
Title
President/Ceo
Phone
(270) 441-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 300114 KY Primary

Addresses

Primary practice location

225 Medical Center Dr Ste 105
Paducah, KY 42003-7914

Mailing address

PO Box 8329
Paducah, KY 42002-8329
Phone (270) 441-4125

Other names 1

  • Surgicare Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Lourdes Medical Pavilion LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

225 Medical Center Dr
Ste 104
Paducah, KY 42003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1386826261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8329",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420028329",
            "telephone_number": "270-441-4125",
            "fax_number": "270-441-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 105",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4500",
            "fax_number": "270-441-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES MEDICAL PAVILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WRING",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "270-441-4181"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KY",
            "license": "300114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgicare Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.