# OUR LADY OF LOURDES HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOURDES RIVERVIEW MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184708471
- **Authorized official:** MR. JOHN SERLE (PRESIDENT & CEO)
- **Authorized official phone:** (509) 543-2483

## Contact information

- **Practice address:** 4403 W COURT ST, SUITE B, PASCO, WA 99301-2879
- **Practice address phone:** (509) 545-5358
- **Mailing address:** 4403 W COURT ST, SUITE B, PASCO, WA 99301-2879
- **Mailing address phone:** (509) 545-6620
- **Mailing address fax:** (509) 545-6842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 113003371 | WA | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 113003371 | WA | — |
| 207VX0000X | Obstetrics Physician | 113003371 | WA | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 04/17/2009