NPIMap

Organization Active NPI

Lourdes Hospital

  • Child Physical Disabilities Respite Care
  • Great Bend, PA
National Provider Identifier
1780013318
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
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
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Authorized official

Name
Heather Tiffany Brown
Title
RN
Phone
(607) 760-1280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X 637453-1 NY Primary

Addresses

Primary practice location

1496 Randolph Rd
Great Bend, PA 18821-9516

Mailing address

1496 Randolph Rd
Great Bend, PA 18821-9516

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1780013318",
    "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"
        },
        {
            "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": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "TIFFANY",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "607-760-1280"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NY",
            "license": "637453-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.