NPIMap

Organization Active NPI

Lourdes Hospital LLC

Doing business as Lourdes Inpatient Rehabilitation Facility

  • Rehabilitation Hospital Unit
  • Pasco, WA
National Provider Identifier
1497817654
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
113003371 Issued in WA
Legal business name
LOURDES HOSPITAL LLC
Doing business as
Lourdes Inpatient Rehabilitation Facility
Practice address
520 N 4TH Ave
Pasco, WA 99301-5257
Phone
(509) 547-7704
Fax
(509) 543-2488
NPI assigned
Dec 14, 2006
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Charlotte E Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 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

IdentifierTypeStateIssuer
3200367MedicaidWA

Other names 1

  • Lourdes Inpatient Rehabilitation Facility Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lourdesmedical@direct.lmc.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180928002593 WA Part A Provider - Critical Access Hospital 1850642562 Practice locations: Pasco, WA
O20181113000853 WA Part B Supplier - Clinic/Group Practice 1850642562 Receives reassigned benefits from 115 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasco, WA; Richland, WA; Kennewick, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497817654. Details of each certification follow.

Hospital certification: CCN 50R337

Legal name
LOURDES HOSPITAL LLC
Doing business as
LOURDES HEALTH
Organization structure
LLCProprietary
Incorporated
Sep 22, 2016 in DE
Enrollment address
520 N 4TH Ave
Pasco, WA 99301-5257
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Lourdes Medical CenterCCN 50R337 · All quality measures
Ownership
Non-profit
Certified
Feb 1, 2005

National Provider Directory

National Provider Directory

Locations

7425 Wrigley Dr
Ste 100
Pasco, WA 99301
Phone (509) 416-8888

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian Scott Sims Individual W-2 Managing EmployeeFacility Ceo Aug 18, 2025
DSB Acquisition LLC Organization, New York, NY LLC, Investment firm, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Lourdes Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2018 100%
Lifepoint Health Inc Organization, Brentwood, TN Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 100%
Marcus B Poppell Individual Corporate OfficerSenior Vice President Nov 16, 2018
William Ziesmer Individual Corporate OfficerCfo Feb 12, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary Apr 4, 2022
Capella Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Samuel Robert Barrett Individual Corporate OfficerPresident Feb 2, 2026
Elliott Brown Individual Corporate OfficerSVP and Treasurer Apr 2, 2026
Capella Healthcare LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Christopher J Monte Individual Corporate OfficerVice President Nov 16, 2018
RCCH Washington Holdings, LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Oct 29, 2018 100%
Lima Holdco LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Capella Health Holdings LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%

Facilities with the same owner 34

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 34

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1497817654",
    "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",
            "fax_number": "509-543-2488"
        },
        {
            "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",
            "fax_number": "509-543-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "WA",
            "license": "113003371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3200367",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lourdesmedical@direct.lmc.md",
            "affiliation": "N",
            "address_1": "520 N 4th Ave",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993015257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lourdes Inpatient Rehabilitation Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lourdes Inpatient Rehabilitation Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.