Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access |
282NC0060X | A0[7] | Critical Access Hospital | |
Pain Medicine |
2081P2900X | 25 | Physician/Physical Medicine and Rehabilitation | |
Spinal Cord Injury Medicine |
2081P0004X | 25 | Physician/Physical Medicine and Rehabilitation | |
Sports Medicine |
207RS0010X | 11 | Physician/Internal Medicine | |
Sports Medicine |
2081S0010X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI # | 1033473517 |
| LBN Legal business name | OUR LADY OF LOURDES HOSPITAL AT PASCO |
| Authorized official | JOHN SERLE - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/28/2012 |
| Last updated | 06/28/2012 - About 14 years ago |
| Identifiers | n/a |
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