OUR LADY OF LOURDES HOSPITAL AT PASCO (NPI# 1336558097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336558097 |
Entity Type | Organization |
Organization Name | OUR LADY OF LOURDES HOSPITAL AT PASCO |
Other Organization Name | LOURDES COUNSELING CENTER |
Practice Address |
1175 Carondelet Dr Richland WA 99354-3300 |
Practice Telephone | 5099439104 |
Mailing Telephone | 5099439104 |
Enumeration Date | 2014-08-07 |
Last Update Date | 2014-08-07 |
Authorized Official Name | BARBARA MEAD (VP BEHAVIORAL HEALTH) |
Authorized Official Telephone | 5099437215 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | MG60300008 | WA | Hospitals |
Other Name | Type Code |
---|---|
Lourdes Counseling Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730233065 | Our Lady of Lourdes Hospital At Pasco | Pediatrics | 503 N 5th Ave, Pasco, WA 99301-5201 | 2007-01-23 |
1093187585 | Our Lady of Lourdes Hospital At Pasco | Occupational Therapist | 507 N 5th Ave, Pasco, WA 99301-5201 | 2015-10-23 |
1639503774 | Our Lady of Lourdes Hospital At Pasco | Radiology | 5304 N Road 68, Pasco, WA 99301-9189 | 2013-08-26 |
1033473517 | Our Lady of Lourdes Hospital At Pasco | Internal Medicine | 4215 Convention Pl, Suite B, Pasco, WA 99301-8148 | 2012-06-28 |
1801941604 | Our Lady of Lourdes Hospital At Pasco | Clinic/Center | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2007-01-24 |
1568517266 | Our Lady of Lourdes Hospital At Pasco | Clinic/Center | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2007-01-24 |
1093882383 | Our Lady of Lourdes Hospital At Pasco | Clinic/Center | 9915 Sandifur Pkwy, Pasco, WA 99301-8941 | 2006-11-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | OUR LADY OF LOURDES HOSPITAL AT PASCO | 520 N 4th Ave, Pasco, WA 99301 |
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 |
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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 |
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Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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1750881017 | Rainier Springs, LLC | Psychiatric Hospital | 2805 Ne 129th St, Vancouver, WA 98686-3324 | 2018-02-13 |
1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
1871726570 | Recovery Innovations, Inc | Psychiatric Hospital | 2150 Freeman Road East, Fifie, WA 98424-3776 | 2009-08-27 |
1083676340 | Va Puget Sound Health Care System | Psychiatric Hospital | Va Puget Sound Health Care System, American Lake D, 9600 Veterans Drive Sw, Tacoma, WA 98493-0001 | 2006-04-03 |
1467440602 | Department of Social Dept of Shs Div of Instns | Psychiatric Hospital | 850 Maple St, Medical Lake, WA 99022-0800 | 2005-10-12 |
1487648721 | Child Study and Treatment Center | Psychiatric Hospital | 8805 Steilacoom Blvd Sw, Lakewood, WA 98498-4770 | 2005-09-01 |
1649804253 | Vest Thurston LLC | Psychiatric Hospital | 605 Woodland Square Loop Se, Lacey, WA 98503-1045 | 2020-02-24 |
1336605849 | Vest Thurston LLC | Psychiatric Hospital | 605 Woodland Square Loop Se, Lacey, WA 98503-1045 | 2019-02-20 |
1932698107 | Spokane Behavioral Health LLC | Psychiatric Hospital | 104 W 5th Ave, Spokane, WA 99204-4880 | 2018-05-03 |
1508365297 | Rebecca Noll Walkling | Psychiatric Hospital | 10710 Mukilteo Speedway, Mukilteo, WA 98275-5021 | 2018-02-08 |
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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.