OUR LADY OF LOURDES HEALTH CENTER (NPI# 1538213616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538213616 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES HEALTH CENTER |
| Other Organization Name | LOURDES FAMILY HEALTH CENTER |
| Practice Address |
650 S Columbia Ave Connell WA 99326 |
| Mailing Address |
Po Box 1260 Connell WA 99326-1260 |
| Practice Telephone | 5092343410 |
| Practice Fax Number | 5095432488 |
| Mailing Telephone | 5092343410 |
| Mailing Fax Number | 5095432488 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-06-24 |
| Authorized Official Name | JOHN SERLE (PRESIDENT & CEO) |
| Authorized Official Telephone | 5095432483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
113003371 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LOURDES FAMILY HEALTH CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659505840 | Our Lady of Lourdes Health Center | Obstetrics & Gynecology | 7425 Wrigley Drive, Pasco, WA 99301 | 2009-05-04 |
| 1649785569 | Our Lady of Lourdes Health Center | Urology | 507 N 5th Ave, Pasco, WA 99301-5201 | 2017-12-14 |
| 1235678772 | Our Lady of Lourdes Health Center | Psychiatric Residential Treatment Facility | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2017-02-16 |
| 1700245511 | Our Lady of Lourdes Health Center | Pharmacy | 1175 Carondelet Dr, Attn: Pharmacy, Richland, WA 99354-3300 | 2016-02-22 |
| 1821386822 | Our Lady of Lourdes Health Center | Acupuncturist | 520 N 4th Ave, Pasco, WA 99301-5257 | 2011-07-12 |
| 1326335712 | Our Lady of Lourdes Health Center | Pediatrics | 815 S Auburn St, Kennewick, WA 99336-5661 | 2011-07-06 |
| 1093006447 | Our Lady of Lourdes Health Center | Family Medicine | 1200 N 14th Ave, Pasco, WA 99301-4182 | 2011-04-20 |
| 1518267129 | Our Lady of Lourdes Health Center | Surgery | 1200 N 14th Ave, Suite 400, Pasco, WA 99301-4182 | 2010-10-28 |
| 1366682973 | Our Lady of Lourdes Health Center | Hospitalist | 520 N 4th Ave, Pasco, WA 99301-5257 | 2009-02-23 |
| 1104093368 | Our Lady of Lourdes Health Center | Clinic/Center | 5304 N Road 68, Pasco, WA 99301-9189 | 2008-05-15 |
| Street Address |
650 S COLUMBIA AVE |
| City | CONNELL |
| State | WA |
| Zip Code | 99326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952355448 | Catherine Sue Bilyard | Nurse Practitioner | 650 S Columbia Ave, Connell, WA 99326 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104392935 | Lois Eileen Smith | Counselor | Coyote Ridge Correction Center, 1301 North Ephrata Ave., Connell, WA 99326 | 2018-10-19 |
| 1538589478 | George Francis Quiggle | Counselor | 1100 W. Grant St., Connell, WA 99326 | 2014-04-18 |
| 1528316379 | Columbia Basin Health Association | Clinic/Center | 1051 S. Columbia Avenue, Connell, WA 99326 | 2012-08-28 |
| 1295011617 | Gary Byron Fletcher | Physician Assistant | 111 N Columbia Avenue, Connell, WA 99326 | 2011-10-31 |
| 1871895987 | Jonathan Neau | Physician Assistant | 1301 N Ephrata Ave, Connell, WA 99326 | 2010-11-22 |
| 1417116385 | Columbia Basin Health Association | Clinic/Center | 1051 S Columbia Avenue, Connell, WA 99326 | 2008-06-05 |
| 1598749590 | Jaeniffer Ang Kaiser | Nurse Practitioner | 661 South Columbia Avenue, Connell, WA 99326 | 2005-12-02 |
| 1124025721 | Dale T Fetroe | Family Medicine | 1301 Ephrata, C/o Coyote Ridge Correction Center, Connell, WA 99326 | 2005-06-28 |
| 1912185588 | Jon Marcus Raymond Mundall | General Practice | 111 North Columbia Ave, Connell, WA 99326 | 2008-02-06 |
| 1629147020 | Marika, Inc Dba The Connell Pharmacy | Pharmacy | 140 N Columbia, Connell, WA 99326-0070 | 2006-11-07 |
| Find all providers in zip 99326 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831227644 | Ang Clinic Pllc | Clinic/Center | 661 South Columbia Ave, Connell, WA 99326-0077 | 2007-03-01 |
| 1568595734 | Ang Medical Clinic Pllc | Clinic/Center | 661 South Columbia Ave, Connell, WA 99326-0077 | 2007-03-14 |
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| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
| Find all providers with the same taxonomy | ||||
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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.