LOURDES HOSPITAL (NPI# 1679901714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679901714 |
| Entity Type | Organization |
| Organization Name | LOURDES HOSPITAL |
| Practice Address |
1496 Randolph Rd Great Bend PA 18821-9516 |
| Practice Telephone | 6077601280 |
| Mailing Telephone | 6077601280 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | MS. HEATHER TIFFANY BROWN (PRIVATE DUTY NURSE) |
| Authorized Official Telephone | 6077601280 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
637453-1 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386050417 | Lourdes Hospital | General Acute Care Hospital | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2014-07-09 |
| 1780013318 | Lourdes Hospital | Respite Care | 1496 Randolph Rd, Great Bend, PA 18821-9516 | 2013-11-04 |
| 1316252695 | Lourdes Hospital | General Acute Care Hospital | 1530 Lone Oak Rd, Paducah, KY 42003-7901 | 2010-08-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LOURDES HOSPITAL | 1530 Lone Oak Rd, Paducah, KY 42003-7901 |
| Washington State Corporations | LOURDES HOSPITAL, LLC | 330 Seven Springs Way, Brentwood, TN 37027 |
| Street Address |
1496 RANDOLPH RD |
| City | GREAT BEND |
| State | PA |
| Zip Code | 18821-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780013318 | Lourdes Hospital | Respite Care | 1496 Randolph Rd, Great Bend, PA 18821-9516 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144322330 | George Harold Stover IIi | Chiropractor | 325 Main Street, Great Bend, PA 18821 | 2006-09-01 |
| 1497732721 | Great Bend Hallstead Volunteer Ambulance Inc | Ambulance | 5 Carrol St, Great Bend, PA 18821-7700 | 2005-12-28 |
| 1396283891 | Vitality Chiropractic Inc. | Chiropractor | 325 Main St, Great Bend, PA 18821-9753 | 2017-02-03 |
| 1700118247 | Brett Allen Mullen | Chiropractor | 325 Main St, Great Bend, PA 18821-9753 | 2010-02-09 |
| 1770766958 | Health Source of Great Bend Inc | Chiropractor | 325 Main St, Great Bend, PA 18821-9753 | 2007-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1164032090 | Brett Taylor Lyman | Dentist | 2215 Broadway Ave, Great Bend, KS 67530-3917 | 2020-08-05 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1063034775 | Jami Mcvay | Student in an Organized Health Care Education/Training Program | 3810 19th St, Great Bend, KS 67530-7411 | 2020-05-15 |
| 1417580226 | Jessica Kraisinger | Behavioral Analyst | 1312 Patton Rd, Great Bend, KS 67530-3120 | 2020-02-20 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1326683780 | Shauna Hackerott | Behavior Technician | 2420 24th St, Great Bend, KS 67530-2428 | 2019-11-08 |
| 1205471661 | Brooklyn Burkhart | Behavior Technician | 3706 Meadowlark Ln, Great Bend, KS 67530-7465 | 2019-11-08 |
| 1447811823 | Elisabeth Breann Hinkle | Physician Assistant | 3800 10th St, Great Bend, KS 67530-3549 | 2019-06-26 |
| Find all providers in GREAT BEND | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538706437 | Daily Dove Care, LLC | Skilled Nursing Facility | 1811 Cottman Ave, Philadelphia, PA 19111-3804 | 2019-12-10 |
| 1851776603 | Firely Home for Kids | Skilled Nursing Facility | 2756 Little Rd, Perkiomenville, PA 18074-9581 | 2015-07-22 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| 1629481833 | Oshunfeme Uhuru | Skilled Nursing Facility | 2020 Palm Ave, Pittsburgh, PA 15235-1549 | 2014-06-05 |
| 1104246222 | 1 | Skilled Nursing Facility | 14 Basswood Dr, Mountain Top, PA 18707-1824 | 2014-04-16 |
| 1326310103 | Almost Like Home,inc | Skilled Nursing Facility | 129 E Gorgas Ln, Philadelphia, PA 19119-2151 | 2012-02-08 |
| 1972874733 | Childway Pediatric Services | Skilled Nursing Facility | 2328 N Broad St, Colmar, PA 18915-9725 | 2012-01-25 |
| 1972896363 | 1 Heart Hhc LLC | Skilled Nursing Facility | 255 Glendale Rd, Upper Darby, PA 19082-4017 | 2011-05-18 |
| 1902895550 | Jenner's Pond Inc. | Skilled Nursing Facility | 2000 Greenbriar Ln, West Grove, PA 19390-9485 | 2005-10-17 |
| 1053779561 | St. Joseph's Center | Skilled Nursing Facility | 2013 Boulevard Ave, Scranton, PA 18509-1205 | 2016-01-29 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 18821 |
Please comment or provide details below to improve the information on LOURDES HOSPITAL.
| 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.