LOURDES HOSPITAL LLC (NPI# 1659861060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659861060 |
| Entity Type | Organization |
| Organization Name | LOURDES HOSPITAL LLC |
| Practice Address |
520 N 4th Ave Pasco WA 99301 |
| Mailing Address |
520 N 4th Ave Pasco WA 99301-5257 |
| Practice Telephone | 5095477704 |
| Mailing Telephone | 5095423076 |
| Mailing Fax Number | 5095423059 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2019-01-29 |
| Authorized Official Name | KATHY J TEAGUE (SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295207934 | Lourdes Hospital LLC | Pharmacy | 7425 Wrigley Dr Ste 104, Pasco, WA 99301-5292 | 2018-12-19 |
| 1124590864 | Lourdes Hospital LLC | Pharmacy | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2018-12-19 |
| 1891280459 | Lourdes Hospital LLC | General Acute Care Hospital | 520 N 4th Ave, Pasco, WA 99301 | 2018-06-26 |
| 1497817654 | Lourdes Hospital LLC | Rehabilitation Unit | 520 N 4th Ave, Pasco, WA 99301-5257 | 2006-12-14 |
| 1548342181 | Lourdes Hospital LLC | Psychiatric Residential Treatment Facility | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2006-10-20 |
| 1831284280 | Lourdes Hospital LLC | General Acute Care Hospital | 520 N 4th Ave, Pasco, WA 99301-5257 | 2006-10-03 |
| Street Address |
520 N 4TH AVE |
| City | PASCO |
| State | WA |
| Zip Code | 99301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861485773 | J Kelsey Jackson | Physician Assistant | 520 N 4th Ave, Pulmonary Svcs, Pasco, WA 99301-5257 | 2005-08-25 |
| 1417564014 | Carley May Stringer | Registered Nurse | 520 N 4th Ave, Pasco, WA 99301-5257 | 2020-09-28 |
| 1811516297 | Kacie Michelle Sams | Physical Therapist | 520 N 4th Ave, Pasco, WA 99301-5257 | 2020-04-15 |
| 1760017164 | Alyssa Dawn Neil | Physician Assistant | 520 N 4th Ave, Pasco, WA 99301-5257 | 2020-03-05 |
| 1285101097 | Joshua Scoville | Nurse Practitioner | 520 N 4th Ave, Pasco, WA 99301-5257 | 2018-10-30 |
| 1891280459 | Lourdes Hospital LLC | General Acute Care Hospital | 520 N 4th Ave, Pasco, WA 99301 | 2018-06-26 |
| 1033637582 | Jesse Manuel Clossey | Physician Assistant | 520 N 4th Ave, Pasco, WA 99301 | 2017-09-05 |
| 1780110775 | Audrey Anna Mcgary | Dietitian, Registered | 520 N 4th Ave, Pasco, WA 99301-5257 | 2017-05-11 |
| 1548701733 | James Martin Epperly | Registered Nurse | 520 N 4th Ave, Pasco, WA 99301-5257 | 2017-03-20 |
| 1578013736 | Lourdes Medical Center | Dietitian, Registered | 520 N 4th Ave, Pasco, WA 99301-5257 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504550 | Kayshuv Enterprises | Pharmacy | 7505 Sandifur Pkwy, Suite 102, Pasco, WA 99301 | 2020-06-27 |
| 1558883157 | Cecilia Carmen Asenjo | Registered Nurse | 715 W Court Street, Pasco, WA 99301 | 2017-07-14 |
| 1528451085 | Felix Ramos | Dentist | 7425 Wrigley Dr Ste 201, Pasco, WA 99301 | 2015-03-09 |
| 1861896631 | Tri-cities Community Health | General Practice | 1801 E Sheppard St, Pasco, WA 99301 | 2014-10-22 |
| 1649617861 | Thompson.ferguson,steinhart. James.pllc | Dentist | 6525 Burden Blvd, Pasco, WA 99301 | 2013-05-29 |
| 1598008880 | Thompson. Ferguson. Steinhart. James, Pllc | Dentist | 6525 Burden Boulevard, Pasco, WA 99301 | 2013-04-04 |
| 1639421720 | Comprehensive Healthcare | Community/Behavioral Health | 2715 Saint Andrews Loop, Suite C, Pasco, WA 99301 | 2012-10-12 |
| 1497065395 | Danny M Trapp Jr. | Counselor | 516 W. Margaret, Pasco, WA 99301 | 2010-10-14 |
| 1740510486 | Columbia Basin College | Dental Hygienist | 2600 N 20th Ave, Ms T-1, Pasco, WA 99301 | 2009-12-31 |
| 1417286386 | Wanda Marie Good | Surgery | 1200 N 14th Ave Ste 255, Pasco, WA 99301 | 2009-12-23 |
| Find all providers in zip 99301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790015766 | Peresi Kamazoob Kahirimbanyi | Family Medicine | 7425 Wrigley Dr Ste 100, Pasco, WA 99301-5292 | 2010-01-13 |
| 1023252814 | Juan Carlos Hernandez Umana | Family Medicine | 3905 Sandifur Parkway, Pasco, WA 99301 | 2009-04-24 |
| 1093925794 | Travis Alexander Najera | Family Medicine | 1620 N Road 44, Pasco, WA 99301-2667 | 2007-05-23 |
| 1770799579 | Faustino Riojas Jr. | Family Medicine | 707 W Margaret, Pasco, WA 99301 | 2007-05-16 |
| 1477689834 | Victor O Brooks | Family Medicine | 1525 W Court St, Pasco, WA 99301 | 2007-02-27 |
| 1366533481 | Jonathan P Crosier | Family Medicine | 515 West Court, Pasco, WA 99301 | 2006-09-27 |
| 1912953860 | David William Jones | Family Medicine | 9605 Sandifur Parkway, Kadlec Clinic-primary Care, Pasco, WA 99301 | 2006-05-25 |
| 1366407181 | Mark Spencer | Family Medicine | 1608 Road 44, Pasco, WA 99301-2667 | 2006-04-18 |
| 1497733877 | Jerry L Hiner | Family Medicine | 515 West Court St, Pasco, WA 99301 | 2006-01-05 |
| 1114905825 | Kathryn L Soudah | Family Medicine | 5025 Rd 68 Ste G #186, Pasco, WA 99301 | 2006-01-03 |
| Find all providers in PASCO | ||||
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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.