Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Parent organization
OUR LADY OF LOURDES HEALTH CENTER
Other names
Lourdes Hospitalist Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES HEALTH CENTER
Authorized official
MR. JOHN SERLE (PRESIDENT & CEO)
(509) 543-2483
Entity
Organization
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
113003371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8855265
PTAN
WA
Enumeration date
02/23/2009
Last updated
03/06/2009
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