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CAH501337-00 LOURDES MEDICAL CENTER (Terminated)
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Main Details
Name
LOURDES MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH501337-00
Medicare Provider Number
501337
Additional Details
Current Program Status
Terminated
Registration Date
11/8/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/8/2010
Last Recertification Date
11/15/2017
Termination Date
Termination Reason
10/1/2018
For-Profit conversion
Contacts
Authorizing Official
Lourdes Medical Center
FRANK R BECKER, CFO
(509) 546-2282
Primary Contact
Lourdes Medical Center
Tracy Sue Clark, Director of Pharmacy
(509) 546-2298
Addresses
Street Address
520 N 4TH AVENUE
PASCO, WA 99301
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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