Lourdes Hospital

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

637453-1 Issued in NY

Legal business name

LOURDES HOSPITAL

Practice address

1496 Randolph Rd
Great Bend, PA 18821-9516

Phone

(607) 760-1280

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Heather Tiffany Brown, RN

Title

Private Duty Nurse

Phone

(607) 760-1280

Specialties & licenses 1

Addresses

Tax ID family

Lourdes Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lourdes Hospital

  • Child Physical Disabilities Respite Care
  • Great Bend, PA
  • NPI 1780013318
  NPD tax ID

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1679901714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1496 RANDOLPH RD",
            "city": "GREAT BEND",
            "state": "PA",
            "postal_code": "188219516",
            "telephone_number": "607-760-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 RANDOLPH RD",
            "city": "GREAT BEND",
            "state": "PA",
            "postal_code": "188219516",
            "telephone_number": "607-760-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "TIFFANY",
        "authorized_official_title_or_position": "PRIVATE DUTY NURSE",
        "authorized_official_telephone_number": "607-760-1280",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "637453-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Bend Hallstead Volunteer Ambulance Inc
• Health Source of Great Bend Inc
• Lourdes Hospital
• Brett Allen Mullen, D.C.
• Resurrection House LLC (Resurrection House)
• George Harold Stover III, DC
• Vitality Chiropractic Inc.

• Pediatric Skilled Nursing Facility in Great Bend, PA
• Providers in Great Bend, PA by specialty
• Pediatric Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.