Organization
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
Active
Other names
Coulee Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HUGHES (CEO)
(509) 633-1753
Entity
Organization
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-3644
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1933
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
HAC.FS.00000150
WA
207P00000X
Emergency Medicine Physician
HAC.FS.00000150
WA
207Q00000X
Family Medicine Physician
Primary
HAC.FS.00000150
WA
2085R0202X
Diagnostic Radiology Physician
HAC.FS.00000150
WA
208600000X
Surgery Physician
HAC.FS.00000150
WA
363L00000X
Nurse Practitioner
HAC.FS.00000150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023564
—
WA
Enumeration date
10/25/2005
Last updated
04/14/2025
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