Organization
TOWN OF COULEE CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE GARRETT (CLERK/ TREASURER)
(509) 632-5331
Entity
Organization
Contact information
Practice address
317 W MAIN ST, COULEE CITY, WA 99115
(509) 632-5331
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7010
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
13M01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029726
—
WA
01
—
204191
WASHINGTON L&I
WA
01
—
590013431
RAILROAD MEDICARE
WA
01
—
613582200
OWCP-FEDERAL WORKER'S COMP
WA
Enumeration date
10/10/2006
Last updated
12/17/2024
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