LOURDES HOSPITAL (NPI# 1780013318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780013318 |
| Entity Type | Organization |
| Organization Name | LOURDES HOSPITAL |
| Practice Address |
1496 Randolph Rd Great Bend PA 18821-9516 |
| Practice Telephone | 6077601280 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | HEATHER TIFFANY BROWN (RN) |
| Authorized Official Telephone | 6077601280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
637453-1 | NY | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679901714 | Lourdes Hospital | Skilled Nursing Facility | 1496 Randolph Rd, Great Bend, PA 18821-9516 | 2013-10-29 |
| 1386050417 | Lourdes Hospital | General Acute Care Hospital | 169 Riverside Dr, Binghamton, NY 13905-4246 | 2014-07-09 |
| 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 |
|---|---|---|---|---|
| 1679901714 | Lourdes Hospital | Skilled Nursing Facility | 1496 Randolph Rd, Great Bend, PA 18821-9516 | 2013-10-29 |
| 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 | 385HR2065X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Physical Disabilities, Child |
| A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912165085 | Respi Center | Respite Care | 545 W High St, Waynesburg, PA 15370-7209 | 2008-05-27 |
| 1851397848 | Frankie's World | Respite Care | 1011 Poplar Street, Philadelphia, PA 19123 | 2005-06-23 |
| 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.