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NPI Code Detail

MEDICARE: LOURDES HOSPITAL LLC

MEDICARE: LOURDES HOSPITAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility
2324500000XSubstance Abuse Rehabilitation Facility
3251S00000XCommunity/Behavioral Health Agency
4283Q00000XPsychiatric Hospital113 003 371WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548342181
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOURDES HOSPITAL LLC
Provider Business Mailing Address
First Line : 520 N 4TH AVE
Second Line :
City : PASCO
State : WA
Zip : 99301-5257
Country : US
Telephone Number : 509-547-7704
Fax Number :
Provider Business Practice Location Address
First Line : 1175 CARONDELET DR
Second Line :
City : RICHLAND
State : WA
Zip : 99354-3300
Country : US
Telephone Number : 509-943-9104
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : CHARLOTTE E LAWRENCE
Credential :
Telephone Number : 615-920-7000
Provider Enumeration Date : 10/20/2006
Last Update Date : 02/17/2024

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Directions to “LOURDES HOSPITAL LLC ” Practice Location

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