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Organization Active NPI

Our Lady of Lourdes Hospital at Pasco

Doing business as LOURDES COUNSELING CENTER Adolescent Day Program

  • Adolescent and Children Mental Health Clinic/Center
  • Richland, WA
National Provider Identifier
1801941604
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
OUR LADY OF LOURDES HOSPITAL AT PASCO
Doing business as
LOURDES COUNSELING CENTER Adolescent Day Program
Practice address
1175 Carondelet Dr
Richland, WA 99354-3300
Phone
(509) 943-9104
Fax
(509) 543-2488
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X WA Primary

Addresses

Primary practice location

1175 Carondelet Dr
Richland, WA 99354-3300

Mailing address

1175 Carondelet Dr
Richland, WA 99354-3300
Phone (509) 943-9104

Other names 1

  • LOURDES COUNSELING CENTER Adolescent Day Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CBHC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801941604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CARONDELET DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543300",
            "telephone_number": "509-943-9104",
            "fax_number": "509-543-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CARONDELET DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993543300",
            "telephone_number": "509-943-9104",
            "fax_number": "509-543-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF LOURDES HOSPITAL AT PASCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "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": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOURDES COUNSELING CENTER Adolescent Day Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.