Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Other names
LOURDES FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SERLE (PRESIDENT & CEO)
(509) 543-2483
Entity
Organization
Contact information
Practice address
650 S COLUMBIA AVE, CONNELL, WA 99326
(509) 234-3410
(509) 543-2488
Mailing address
PO BOX 1260, CONNELL, WA 99326-1260
(509) 234-3410
(509) 543-2488
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
113003371
WA
Other
Enumeration date
01/23/2007
Last updated
06/24/2009
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