NPIMap

Organization Active NPI

Lourdes Hospital LLC

  • Internal Medicine Physician
  • Pasco, WA
National Provider Identifier
1659861060
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOURDES HOSPITAL LLC
Practice address
520 N 4TH Ave
Pasco, WA 99301
Phone
(509) 547-7704
NPI assigned
May 11, 2018
Last updated
Feb 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Pediatrics Physician 208000000X NU
Surgery Physician 208600000X NU
Urology Physician 208800000X NU
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X NU

Addresses

Primary practice location

520 N 4TH Ave
Pasco, WA 99301

Mailing address

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 542-3076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20181113000853 WA Part B Supplier - Clinic/Group Practice 1850642562 Receives reassigned benefits from 115 practitioners
3 other NPIs on this enrollment
Practice locations: Pasco, WA; Richland, WA; Kennewick, WA
O20240910000516 TX Part B Supplier - Clinic/Group Practice 1850642562 Receives reassigned benefits from 1 practitioner
Practice locations: Cypress, TX
O20241010002096 KY Part B Supplier - Clinic/Group Practice 1850642562 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

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.

National Provider Directory

National Provider Directory

Locations

1200 N 14th Ave
Ste 240
Pasco, WA 99301
Phone (509) 545-1897

1200 N 14th Ave
Ste 255
Pasco, WA 99301
Phone (509) 416-8895

1200 N 14th Ave
Ste 285
Pasco, WA 99301
Phone (509) 416-8880

1200 N 14th Ave
Ste 300B
Pasco, WA 99301
Phone (509) 545-1492

7425 Wrigley Dr
Ste 102
Pasco, WA 99301
Phone (509) 543-7583

7425 Wrigley Dr
Ste 206
Pasco, WA 99301
Phone (509) 546-8400

9915 Sandifur Pkwy
Pasco, WA 99301
Phone (509) 546-2222

Practitioners & affiliated clinicians

Practitioners 123

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 123

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1659861060",
    "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": "509-542-3076",
            "fax_number": "509-542-3059"
        },
        {
            "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": "99301",
            "telephone_number": "509-547-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.