Provider Demographics
NPI:1265558126
Name:LOURDES HEALTH NETWORK
Entity type:Organization
Organization Name:LOURDES HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEMICAL DEPENDENCY PROFESSIONAL T
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARI
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:509-547-7704
Mailing Address - Street 1:5504 W METALINE AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1419
Mailing Address - Country:US
Mailing Address - Phone:509-735-5303
Mailing Address - Fax:509-735-5303
Practice Address - Street 1:520 N 4TH AVE
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-5257
Practice Address - Country:US
Practice Address - Phone:509-547-7704
Practice Address - Fax:509-546-2360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit