OUR LADY OF LOURDES HOSPITAL AT PASCO (NPI# 1568517266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568517266 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES HOSPITAL AT PASCO |
| Other Organization Name | LOURDES COUNSELING CENTER ADULT DAY PROGRAM |
| Practice Address |
1175 Carondelet Dr Richland WA 99354-3300 |
| Practice Telephone | 5099439104 |
| Practice Fax Number | 5095432488 |
| Mailing Telephone | 5099439104 |
| Mailing Fax Number | 5095432488 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN SERLE (QM CREDENTIALING) |
| Authorized Official Telephone | 5095462231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LOURDES COUNSELING CENTER Adult Day Program | 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 |
| 1336558097 | Our Lady of Lourdes Hospital At Pasco | Psychiatric Hospital | 1175 Carondelet Dr, Richland, WA 99354-3300 | 2014-08-07 |
| 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 |
| 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 |
| 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| 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.