# OUR LADY OF LOURDES HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OUR LADY OF LOURDES HEALTH CENTER
- **Other names:** Lourdes Hospitalist Program
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366682973
- **Legal business name:** OUR LADY OF LOURDES HEALTH CENTER
- **Authorized official:** MR. JOHN SERLE (PRESIDENT & CEO)
- **Authorized official phone:** (509) 543-2483

## Contact information

- **Practice address:** 520 N 4TH AVE, PASCO, WA 99301-5257
- **Practice address phone:** (509) 547-7704
- **Mailing address:** 520 N 4TH AVE, PASCO, WA 99301-5257
- **Mailing address phone:** (509) 547-7704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | 113003371 | WA | Yes |

## Other

- **Enumeration date:** 02/23/2009
- **Last updated:** 03/06/2009