Our Lady of Lourdes Health Center

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

113003371 Issued in WA

Legal business name

OUR LADY OF LOURDES HEALTH CENTER

Doing business as

Lourdes Pulmonary Services

Practice address

520 N 4TH Ave
1St Floor
Pasco, WA 99301-5257

Phone

(509) 546-2231

Fax

(509) 543-2488

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

John Serle

Title

President & Ceo

Phone

(509) 543-2483

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOURDES PULMONARY SERVICES Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1770637019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "address_2": "1ST FLOOR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-546-2231",
            "fax_number": "509-543-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "address_2": "1ST FLOOR",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-546-2231",
            "fax_number": "509-543-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-10-18",
        "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"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "113003371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7081326",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOURDES PULMONARY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Our Lady of Lourdes Health Center (Lourdes Hospitalist Program)
• 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 Physician Group at the Hospital)
• Our Lady of Lourdes Health Center Dba Lourdes Ear Nose and Throat Asso
• Our Lady of Lourdes Hospital at Pasco (Lourdes Health and Wellness Center)
• Our Lady of Lourdes Hospital at Pasco (Lourdes Occupational Health Center)
• Our Lady of Lourdes Hospital at Pasco (Lourdes Occupational Health Center)

• Pulmonary Disease Physician in Pasco, WA
• Providers in Pasco, WA by specialty
• Pulmonary Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.