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General NPI Number Information
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NPI Number | 1548342181
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Entity Type | Organization
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Legal Business Name | LOURDES HOSPITAL LLC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/17/2024
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Provider Practice Location Address
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Address Line | 1175 CARONDELET DR
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City | RICHLAND
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State | WA
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Zip | 99354-3300
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Country | US
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Telephone | 509-943-9104
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Fax |
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Provider Business Mailing Address
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Address Line | 520 N 4TH AVE
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City | PASCO
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State | WA
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Zip | 99301-5257
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Country | US
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Telephone | 509-547-7704
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | CHARLOTTE E LAWRENCE
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Credential |
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Telephone | 615-920-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 113 003 371
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License Number State | WA
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