OUR LADY OF LOURDES HOSPITAL AT PASCO (NPI# 1639503774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639503774 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LOURDES HOSPITAL AT PASCO |
| Other Organization Name | LOURDES URGENT CARE RADIOLOGY |
| Practice Address |
5304 N Road 68 Pasco WA 99301-9189 |
| Mailing Address |
Po Box 2568 Pasco WA 99302-2568 |
| Practice Telephone | 5095439300 |
| Practice Fax Number | 5095455049 |
| Mailing Telephone | 5094168849 |
| Mailing Fax Number | 5095423059 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Authorized Official Name | JOHN SERLE (CEO) |
| Authorized Official Telephone | 5094168849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
HACDS00000022 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lourdes Urgent Care Radiology | 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 |
| 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 |
5304 N ROAD 68 |
| City | PASCO |
| State | WA |
| Zip Code | 99301-9189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269378 | Robert Charles Shirey | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-9189 | 2006-09-22 |
| 1487136339 | Tri-cities Laboratory LLC | Clinical Medical Laboratory | 5304 N Road 68, Pasco, WA 99301-8078 | 2018-09-06 |
| 1922586320 | Caitlyn Mae Free Uhnak | Nurse Practitioner | 5304 N Road 68, Pasco, WA 99301-8078 | 2018-07-30 |
| 1760736177 | Tobias M Lopez | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-8078 | 2012-11-07 |
| 1407009418 | Nichoelle Renee Wall | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-8078 | 2008-11-04 |
| 1104093368 | Our Lady of Lourdes Health Center | Clinic/Center | 5304 N Road 68, Pasco, WA 99301-9189 | 2008-05-15 |
| 1346440302 | Hosain Beckmohamadi | Internal Medicine | 5304 N Road 68, Pasco, WA 99301-9189 | 2007-07-18 |
| 1366574196 | William Henry Hanson | Podiatrist | 5304 N Road 68, Pasco, WA 99301-9189 | 2007-03-09 |
| 1871623876 | Martin Jose Lopez | Physician Assistant | 5304 N Road 68, Pasco, WA 99301-9189 | 2007-03-07 |
| 1144359571 | Raymond Edward Kania | Family Medicine | 5304 N Road 68, Pasco, WA 99301-9189 | 2007-03-02 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1447711544 | Ashkan Jonathan Ahmadian | Radiology | 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 | 2019-03-29 |
| 1639653017 | Radia Imaging Center Holdings LLC | Radiology | 1229 Madison St Ste 900, Seattle, WA 98104-1391 | 2018-09-20 |
| 1427546597 | Kiet Van Vo | Radiology | 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 | 2018-04-24 |
| 1730605965 | Bellingham Advanced Medical Imaging LLC | Radiology | 1344 King St Ste 101, Bellingham, WA 98229-6215 | 2017-08-18 |
| 1184140477 | Proliance Surgeons, Inc., P.s. | Radiology | 6808 220th St Sw Ste 105, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1003367863 | Providence Health & Services Washington | Radiology | 4800 College St Se Ste E, Lacey, WA 98503-4389 | 2016-10-17 |
| 1861846057 | Ethan Hua | Radiology | Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 | 2016-04-14 |
| 1437537354 | Mahmood Albahhar | Radiology | 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 | 2015-05-12 |
| 1336533991 | Keegan Hovis | Radiology | 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 | 2015-03-22 |
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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.