Lourdes Riverview Medical Group
LBN: Our Lady Of Lourdes Health Center
Lourdes Riverview Medical Group is an health care organization with primary practice located at 4403 W Court St Suite B, Pasco WA 99301-2879. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Our Lady Of Lourdes Health Center can be contacted via phone (509) 545-5358, or through Serle, John via phone (509) 543-2483.
Contact Information
Primary practice address
4403 W Court St Suite B
Pasco WA 99301-2879
Phone: (509) 545-5358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 113003371 | Washington |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 113003371 | Washington |
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 113003371 | Washington |
Profile Details
| NPI number | 1184708471 |
|---|---|
| LBN Legal business name | Our Lady Of Lourdes Health Center |
| DBA Doing business as | Lourdes Riverview Medical Group |
| Authorized official | Serle, John |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Apr 17th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184708471 | NPPES |
| Washington | MEDICAID | 7093933 |
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