Organization
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
Active
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
MS. JEAN CLARK (CREDENTIALING COORDINATOR)
(509) 633-6345
Entity
Organization
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-6375
(509) 633-3644
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1911
(509) 633-1933
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016404
—
WA
Enumeration date
11/07/2006
Last updated
07/07/2017
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