LOURDES HEALTH NETWORK (NPI# 1295288819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295288819 |
| Entity Type | Organization |
| Organization Name | LOURDES HEALTH NETWORK |
| Practice Address |
1175 Carondelet Dr Richland WA 99354-3300 |
| Mailing Address |
207 Canyon Dr Prosser WA 99350-1009 |
| Practice Telephone | 5099439104 |
| Mailing Telephone | 5093038422 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Authorized Official Name | MR. JOSE A. MNEDEZ (RESIDENTIAL SERVICES CASE MANAGER) |
| Authorized Official Telephone | 5093038422 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | Y |
| Parent Organization Name | ASCENSION HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 602-813-810 | WA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730494964 | Lourdes Health Network | Community/Behavioral Health | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2010-08-12 |
| 1265558126 | Lourdes Health Network | Rehabilitation, Substance Use Disorder Unit | 520 N 4th Ave, Pasco, WA 99301-5257 | 2007-03-22 |
| Street Address |
1175 CARONDELET DR |
| City | RICHLAND |
| State | WA |
| Zip Code | 99354-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497222 | Farrukh H Hashmi | Psychiatry & Neurology | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2006-06-17 |
| 1700414208 | Darlene Carrillo | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-30 |
| 1003443482 | Laura Lynn Tenney | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-25 |
| 1093342735 | Christopher John Hoag | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-24 |
| 1114554953 | Lesley Martinez Martinez | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-23 |
| 1316573736 | Tia Christine Pingel | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-03-17 |
| 1679107254 | Emma Ballew | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2020-02-24 |
| 1144866856 | Sarah Elizabeth Severin | Registered Nurse | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2019-11-18 |
| 1891336939 | Sergio Pena | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2019-09-30 |
| 1871145326 | Jenna Fox | Counselor | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415591 | Shawn Ryan Miller | Counselor | Lourdes Counseling Center, 1175 Carondelet Dr, Richland, WA 99354 | 2020-04-13 |
| 1891277448 | Tyler Andrew Burgett | Physician Assistant | 1015 Marshall Ave, Richland, WA 99354 | 2018-08-30 |
| 1275072704 | Glenn Manigque | Speech-Language Pathologist | 1525 Hunt Avenue, Richland, WA 99354 | 2017-02-16 |
| 1548688963 | Lorena Swift | Counselor | 2139 Van Giesen Street, Richland, WA 99354 | 2014-04-02 |
| 1346569431 | Mitchell Scott Ferris | Preventive Medicine | 2435 Stevens Center Place, Wtp Medcor Medical Facility, Richland, WA 99354 | 2010-05-28 |
| 1104155928 | Jamie Loretta Brault | Counselor | 1124 Stevens Drive, Richland, WA 99354 | 2009-12-08 |
| 1881835056 | Tracey Ann Glenn | Registered Nurse | 1305 Hains Avenue, Richland, WA 99354 | 2009-03-17 |
| 1124153374 | Robert John Betzler | Chiropractor | 294 Torbett, Richland, WA 99354 | 2007-02-21 |
| 1316090954 | Surender K Wadhwa | Internal Medicine | 217 Torbett Street, Suite 101, Richland, WA 99354 | 2007-01-18 |
| 1831136894 | James A. Strong Jr. | Anesthesiology | 2433 G. Washington Way, #7202, Richland, WA 99354 | 2006-05-31 |
| Find all providers in zip 99354 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821459041 | Cullum House | Community Based Residential Treatment Facility, Mental Illness | 208 Cullum Ave, Richland, WA 99352-4534 | 2016-03-16 |
| 1710334719 | Cullum House | Community Based Residential Treatment Facility, Mental Illness | 208 Cullum Ave, Richland, WA 99352-4534 | 2016-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1891242913 | Amanda Wager | Community Based Residential Treatment Facility, Mental Illness | 204 Ne 94th Street, Seattle, WA 98115-2727 | 2016-09-07 |
| 1801240361 | Alyssia Lucas | Community Based Residential Treatment Facility, Mental Illness | 6510 Cady Rd, Everett, WA 98203-4520 | 2016-04-20 |
| 1720470057 | Metropolitan Development Council | Community Based Residential Treatment Facility, Mental Illness | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2015-02-24 |
| 1083035547 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 201 S 2nd Ave, Yakima, WA 98902 | 2013-12-30 |
| 1801224803 | The Clearing, Spc | Community Based Residential Treatment Facility, Mental Illness | 2687 W Valley Rd, Friday Harbor, WA 98250-8164 | 2013-10-29 |
| 1952532996 | Behavioral Health Resources | Community Based Residential Treatment Facility, Mental Illness | 1275 S 2nd Ave Sw, Tumwater, WA 98512-6976 | 2009-08-06 |
| 1447481858 | Elahan Place | Community Based Residential Treatment Facility, Mental Illness | 7415 Ne 94th Ave, Vancouver, WA 98662-3859 | 2009-08-03 |
| 1689812968 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 504 S 3rd Ave, Yakima, WA 98902 | 2009-01-26 |
| 1730302811 | On Good Hands Afh LLC | Community Based Residential Treatment Facility, Mental Illness | 508 172nd Pl Ne, Bellevue, WA 98008-4127 | 2007-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.