| Lourdes Hospital LLC | |
|
520 N 4th Ave Pasco WA 99301 | |
| (509) 547-7704 | |
| Not Available |
| Full Name | Lourdes Hospital LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 N 4th Ave, Pasco, Washington |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Hospital LLC 520 N 4th Ave Pasco WA 99301-5257 Ph: (509) 542-3076 | Lourdes Hospital LLC 520 N 4th Ave Pasco WA 99301 Ph: (509) 547-7704 |
| NPI Number | 1659861060 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 02/07/2023 |
| Certification Date | 02/07/2023 |
| Medicare PECOS PAC ID | 1850642562 |
|---|---|
| Medicare Enrollment ID | O20181113000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659861060 | NPI | - | NPPES |
| Provider Name | Edwin C Lopez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649363706 PECOS PAC ID: 8123010758 Enrollment ID: I20040401001398 |
| Provider Name | Gary M Belcaster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871582833 PECOS PAC ID: 3678550977 Enrollment ID: I20040706000266 |
| Provider Name | Mark a Hoitink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790785962 PECOS PAC ID: 1759340706 Enrollment ID: I20041006000656 |
| Provider Name | Robert C Shirey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538269378 PECOS PAC ID: 5698736916 Enrollment ID: I20041020000964 |
| Provider Name | Robert M Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629008222 PECOS PAC ID: 0345204467 Enrollment ID: I20041117000829 |
| Provider Name | Farrukh Hashmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467497222 PECOS PAC ID: 8123070810 Enrollment ID: I20050210000374 |
| Provider Name | Cheta Nand |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1528163680 PECOS PAC ID: 2567414261 Enrollment ID: I20050210000482 |
| Provider Name | Benjamin D Pe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871698936 PECOS PAC ID: 1456303163 Enrollment ID: I20050210000505 |
| Provider Name | Carolyn a O Connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962425322 PECOS PAC ID: 7618920109 Enrollment ID: I20050224000426 |
| Provider Name | Eric C Pearson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376578781 PECOS PAC ID: 7416904008 Enrollment ID: I20050406000145 |
| Provider Name | Bruce P Deleonard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609906411 PECOS PAC ID: 0547207862 Enrollment ID: I20050408000346 |
| Provider Name | Bonnie Hartman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861470197 PECOS PAC ID: 3072556000 Enrollment ID: I20050609000862 |
| Provider Name | Byron L Burrup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598751729 PECOS PAC ID: 7012953847 Enrollment ID: I20050701000658 |
| Provider Name | Joseph E Mackay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265521983 PECOS PAC ID: 8123026663 Enrollment ID: I20061117000214 |
| Provider Name | Kenneth a Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366407942 PECOS PAC ID: 5294768479 Enrollment ID: I20070706000497 |
| Provider Name | Ravinder Samra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861475915 PECOS PAC ID: 8325139249 Enrollment ID: I20070807000650 |
| Provider Name | Michael E Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508991415 PECOS PAC ID: 7719072529 Enrollment ID: I20071008000556 |
| Provider Name | Elizabeth France |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578508321 PECOS PAC ID: 4486739521 Enrollment ID: I20080313000066 |
| Provider Name | Jaime Nicacio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245314608 PECOS PAC ID: 0648357954 Enrollment ID: I20080411000036 |
| Provider Name | Sharon L Ahart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770697021 PECOS PAC ID: 4688725971 Enrollment ID: I20090626000202 |
| Provider Name | Edward a Lisenbey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538351606 PECOS PAC ID: 8729132295 Enrollment ID: I20090818000454 |
| Provider Name | Kevin a Weeks |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811090236 PECOS PAC ID: 6204922511 Enrollment ID: I20090826000568 |
| Provider Name | Kevin R Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902900103 PECOS PAC ID: 6305980350 Enrollment ID: I20100215000619 |
| Provider Name | Madhuri Tripurana |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861729758 PECOS PAC ID: 2163551268 Enrollment ID: I20100528000187 |
| Provider Name | Paolo Antonio J De Vera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528383155 PECOS PAC ID: 7719001585 Enrollment ID: I20100831000415 |
| Provider Name | Michelle R Aronow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902982309 PECOS PAC ID: 0244356962 Enrollment ID: I20100929001668 |
| Provider Name | Daniel W Pitts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831403187 PECOS PAC ID: 6901098961 Enrollment ID: I20101008000270 |
| Provider Name | Peresi K Kahirimbanyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790015766 PECOS PAC ID: 7113198045 Enrollment ID: I20110926000110 |
| Provider Name | Geraldine Gatmaitan-dizon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942277157 PECOS PAC ID: 4981878311 Enrollment ID: I20111122000258 |
| Provider Name | Dae Young Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649491481 PECOS PAC ID: 2264578327 Enrollment ID: I20120622000619 |
| Provider Name | Daniel Quiroz Portella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699906719 PECOS PAC ID: 5496904328 Enrollment ID: I20121009000297 |
| Provider Name | Maria J Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902140965 PECOS PAC ID: 8527211432 Enrollment ID: I20121228000423 |
| Provider Name | Joseph a Goates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932453842 PECOS PAC ID: 2264686450 Enrollment ID: I20130218000484 |
| Provider Name | Jasdip S Matharu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215137542 PECOS PAC ID: 8123266061 Enrollment ID: I20130604000676 |
| Provider Name | Dinesh Ratti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137306 PECOS PAC ID: 4183867294 Enrollment ID: I20130821000177 |
| Provider Name | Jennifer L Fordmeir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518399286 PECOS PAC ID: 7214163179 Enrollment ID: I20131122001988 |
| Provider Name | Pamela M Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992131775 PECOS PAC ID: 3274762679 Enrollment ID: I20140205001332 |
| Provider Name | Kathryn I Tate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548696180 PECOS PAC ID: 6709016868 Enrollment ID: I20140311001587 |
| Provider Name | Dana M Lisenbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780007260 PECOS PAC ID: 0941433270 Enrollment ID: I20140512001307 |
| Provider Name | Sara K Woodruff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609017375 PECOS PAC ID: 5799913711 Enrollment ID: I20140703001321 |
| Provider Name | Precious Alexandra Stone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821403320 PECOS PAC ID: 5496975245 Enrollment ID: I20140930001713 |
| Provider Name | Rowena C Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528373487 PECOS PAC ID: 4082834718 Enrollment ID: I20141001001625 |
| Provider Name | Wanda Marie Good |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417286386 PECOS PAC ID: 1254653496 Enrollment ID: I20141125001796 |
| Provider Name | Terry L Wigley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942202635 PECOS PAC ID: 2264449297 Enrollment ID: I20150212001872 |
| Provider Name | Steven a Erlemeier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578595286 PECOS PAC ID: 9436056611 Enrollment ID: I20150515000512 |
| Provider Name | Ariel Marie Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356733653 PECOS PAC ID: 4486975687 Enrollment ID: I20150529002273 |
| Provider Name | Scott E Lamb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093079949 PECOS PAC ID: 8022334291 Enrollment ID: I20150702002642 |
| Provider Name | Marshall Keith Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275556904 PECOS PAC ID: 5092757484 Enrollment ID: I20150814014695 |
| Provider Name | Eyob G Kidane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215349998 PECOS PAC ID: 0446477087 Enrollment ID: I20150922001188 |
| Provider Name | Florette G Sime |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770849309 PECOS PAC ID: 0345559449 Enrollment ID: I20151012000427 |
| Provider Name | Barbara Kirejczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225142763 PECOS PAC ID: 6800119710 Enrollment ID: I20151026001354 |
| Provider Name | Trenton Scheibe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063630606 PECOS PAC ID: 0143305581 Enrollment ID: I20160304001282 |
| Provider Name | Tara L Zamarron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912366881 PECOS PAC ID: 7517264864 Enrollment ID: I20160331000757 |
| Provider Name | Tyler James Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144606146 PECOS PAC ID: 4789983198 Enrollment ID: I20160505001090 |
| Provider Name | Jazmin Ivette Yepez Kuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285995365 PECOS PAC ID: 4688964505 Enrollment ID: I20160830001625 |
| Provider Name | Oscar Del Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477903029 PECOS PAC ID: 8628364007 Enrollment ID: I20160912000643 |
| Provider Name | Tyler J Shaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548612153 PECOS PAC ID: 9931496528 Enrollment ID: I20160926001204 |
| Provider Name | Erica V Arias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316482821 PECOS PAC ID: 4587940911 Enrollment ID: I20170419000358 |
| Provider Name | Hardildar S Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356785406 PECOS PAC ID: 2860797040 Enrollment ID: I20170620002868 |
| Provider Name | Michael Adling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669811139 PECOS PAC ID: 7012288160 Enrollment ID: I20170808000898 |
| Provider Name | Amardeep S Mann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396715181 PECOS PAC ID: 4183676679 Enrollment ID: I20171004001302 |
| Provider Name | Ioly T Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164784161 PECOS PAC ID: 5597031237 Enrollment ID: I20171024001861 |
| Provider Name | Heidi April |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063928448 PECOS PAC ID: 2860752813 Enrollment ID: I20180212002450 |
| Provider Name | Alecia C Sturgill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043540701 PECOS PAC ID: 3779765672 Enrollment ID: I20180315001924 |
| Provider Name | Nichoelle R Wall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407009418 PECOS PAC ID: 4880747237 Enrollment ID: I20180406000791 |
| Provider Name | Sudeep Dhoj Thapa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184966624 PECOS PAC ID: 4486886488 Enrollment ID: I20180829000690 |
| Provider Name | Caitlyn Mae Free Uhnak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922586320 PECOS PAC ID: 1052665478 Enrollment ID: I20181120003260 |
| Provider Name | Norwood W Knight Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891700316 PECOS PAC ID: 6709789290 Enrollment ID: I20181121002660 |
| Provider Name | Joel R Gardner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568941904 PECOS PAC ID: 7012252224 Enrollment ID: I20181217001316 |
| Provider Name | Jesse M Clossey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033637582 PECOS PAC ID: 4688912033 Enrollment ID: I20190211002710 |
| Provider Name | Madelynn Paige Schnur |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801369871 PECOS PAC ID: 3870834880 Enrollment ID: I20190401000412 |
| Provider Name | Stephen M Van Rij |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922564558 PECOS PAC ID: 9537401823 Enrollment ID: I20190507002922 |
| Provider Name | Ellen Schaffer Kathren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023281227 PECOS PAC ID: 3173866548 Enrollment ID: I20190529000201 |
| Provider Name | Christine T De Cejka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164980108 PECOS PAC ID: 3375876345 Enrollment ID: I20190605003145 |
| Provider Name | Sherrie S. Virakpanyou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194186403 PECOS PAC ID: 7012241813 Enrollment ID: I20190627003243 |
| Provider Name | Marcia R Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184709800 PECOS PAC ID: 9335473982 Enrollment ID: I20190702000378 |
| Provider Name | Jessica R Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740744952 PECOS PAC ID: 1951637966 Enrollment ID: I20190730000633 |
| Provider Name | Dianna Lang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770967390 PECOS PAC ID: 0749518819 Enrollment ID: I20190827003838 |
| Provider Name | Douglas Edward Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477195196 PECOS PAC ID: 1052746518 Enrollment ID: I20200110002415 |
| Provider Name | Alyssa Dawn Neil |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760017164 PECOS PAC ID: 2264854140 Enrollment ID: I20200623000967 |
| Provider Name | Sarah Elizabeth Severin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866856 PECOS PAC ID: 0648696773 Enrollment ID: I20200819002151 |
| Provider Name | Michael a Carney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932130374 PECOS PAC ID: 5991793143 Enrollment ID: I20201021000278 |
| Provider Name | Brent Joseph Landkammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275535866 PECOS PAC ID: 6103231337 Enrollment ID: I20210219001387 |
| Provider Name | Shirley E Mohren-graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568461465 PECOS PAC ID: 7012902810 Enrollment ID: I20210324002377 |
| Provider Name | Chris Brussow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346726023 PECOS PAC ID: 2163773060 Enrollment ID: I20210712003818 |
| Provider Name | Kandice D Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861687170 PECOS PAC ID: 1951585991 Enrollment ID: I20210805001126 |
| Provider Name | Janak a Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932693421 PECOS PAC ID: 4486050440 Enrollment ID: I20210831001983 |
| Provider Name | Carly Allison Beesley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710656814 PECOS PAC ID: 0941698500 Enrollment ID: I20211101001780 |
| Provider Name | Steven Douglas Spady |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356398739 PECOS PAC ID: 9436067592 Enrollment ID: I20211201003010 |
| Provider Name | Catherine Spomer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972261758 PECOS PAC ID: 0143613984 Enrollment ID: I20220131001765 |
| Provider Name | Mercelline Shabola Mugalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316222417 PECOS PAC ID: 3375704836 Enrollment ID: I20220426000383 |
| Provider Name | Gary G Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730839499 PECOS PAC ID: 1355728338 Enrollment ID: I20220512001031 |
| Provider Name | Sarah Anh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104037159 PECOS PAC ID: 1355400581 Enrollment ID: I20220628000356 |
| Provider Name | Carlos Alberto Matute Mandujano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477030880 PECOS PAC ID: 3577960657 Enrollment ID: I20220713003317 |
| Provider Name | Jason Suleiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134404270 PECOS PAC ID: 3375719222 Enrollment ID: I20220714001470 |
| Provider Name | Chelsea Elizabeth Beveridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275186140 PECOS PAC ID: 7416359310 Enrollment ID: I20220822000260 |
| Provider Name | Maria Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841209194 PECOS PAC ID: 1759336175 Enrollment ID: I20221103002915 |
| Provider Name | Garrett M Pool |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194745984 PECOS PAC ID: 2163647314 Enrollment ID: I20230713000859 |
| Provider Name | Ashlea Kirstin Mcmanus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366979510 PECOS PAC ID: 5496116550 Enrollment ID: I20230804002810 |
| Provider Name | Jacob R Spanjer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306289905 PECOS PAC ID: 9739539214 Enrollment ID: I20231224000087 |
| Provider Name | Alejandro S Soulia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326184904 PECOS PAC ID: 8628421328 Enrollment ID: I20240130000833 |
| Provider Name | Lilian Paulla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780396382 PECOS PAC ID: 6305289505 Enrollment ID: I20240205002368 |
| Provider Name | Lori Serle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558602870 PECOS PAC ID: 1557706728 Enrollment ID: I20240227003304 |
| Provider Name | Deborah Frempong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811423981 PECOS PAC ID: 0244504546 Enrollment ID: I20240310000126 |
| Provider Name | Kip Reese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528565876 PECOS PAC ID: 7416393582 Enrollment ID: I20240312000267 |
| Provider Name | David William Lowe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124140629 PECOS PAC ID: 2567801509 Enrollment ID: I20240423003261 |
| Provider Name | Cassandra Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912444308 PECOS PAC ID: 4486095767 Enrollment ID: I20240517000916 |
| Provider Name | Heather Lee Zaragoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306118591 PECOS PAC ID: 9931630506 Enrollment ID: I20241007002538 |
| Provider Name | Nancy Carolina Menjivar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710761184 PECOS PAC ID: 0345774832 Enrollment ID: I20241106001443 |
| Provider Name | Katherine Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821834052 PECOS PAC ID: 4981131703 Enrollment ID: I20241218001110 |
| Provider Name | Drew S Ableman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285379867 PECOS PAC ID: 7517349939 Enrollment ID: I20250509002746 |
| Provider Name | Andre Rivera Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902793532 PECOS PAC ID: 2769983048 Enrollment ID: I20250828003101 |
| Provider Name | Ethen Ditty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972484749 PECOS PAC ID: 9032601141 Enrollment ID: I20251125004590 |
| Provider Name | Charito Cunanan White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366249161 PECOS PAC ID: 9931675444 Enrollment ID: I20260421002640 |
| Provider Name | Hector Arredondo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588306583 PECOS PAC ID: 5294204343 Enrollment ID: I20260518003301 |
Ppgwni Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 W Court, Pasco, WA 99301 Phone: 866-904-7721 Fax: 509-248-3644 |
Lourdes Health and Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Convention Pl, Suite B, Pasco, WA 99301 Phone: 509-416-8849 |
Advantagepoint Health Alliance - Northwest, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7425 Wrigley Dr Ste 100, Pasco, WA 99301 Phone: 509-416-8888 |
Chc La Clinica - Health Maint. Org Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 |
Tri-cities Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 W Court St, Pasco, WA 99301 Phone: 509-545-6506 Fax: 509-546-0520 |
Lourdes 14th Avenue Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 14th Ave, Pasco, WA 99301 Phone: 509-547-7704 |