NPIMap

Organization Active NPI

Lourdes Occupational Health Center

  • Occupational Medicine Clinic/Center
  • Pasco, WA
National Provider Identifier
1952488934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
PA10001870 Issued in WA
Legal business name
LOURDES OCCUPATIONAL HEALTH CENTER
Practice address
9915 Sandifur Pkwy
Pasco, WA 99301-8941
Phone
(509) 546-2222
Fax
(509) 546-2202
NPI assigned
Nov 1, 2006
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
Mr. Anthony Gambone, PAC
Title
Certified Physician Assistant
Phone
(509) 546-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X PA10001870 WA Primary

Addresses

Primary practice location

9915 Sandifur Pkwy
Pasco, WA 99301-8941

Mailing address

9915 Sandifur Pkwy
Pasco, WA 99301-8941
Phone (509) 546-2222

Other names 1

  • Lourdes Health Network Other name

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952488934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 SANDIFUR PKWY",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018941",
            "telephone_number": "509-546-2222",
            "fax_number": "509-546-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 SANDIFUR PKWY",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993018941",
            "telephone_number": "509-546-2222",
            "fax_number": "509-546-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOURDES OCCUPATIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAMBONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CERTIFIED PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "509-546-2222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "WA",
            "license": "PA10001870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Health Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.