| Banks Lake Medical Clinic | |
|
510 West Main Coulee City WA 99115-0892 | |
| (509) 386-3328 | |
| Not Available |
| Full Name | Banks Lake Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 510 West Main, Coulee City, Washington |
| Authorized Official Name and Position | Daniel Earle Delp (CEO) |
| Authorized Official Contact | 5093863328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banks Lake Medical Clinic Po Box 892 Coulee City WA 99115-0892 Ph: (509) 386-3328 | Banks Lake Medical Clinic 510 West Main Coulee City WA 99115-0892 Ph: (509) 386-3328 |
| NPI Number | 1194008953 |
|---|---|
| Provider Enumeration Date | 09/27/2011 |
| Last Update Date | 09/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194008953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Coulee City Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N Adams, Coulee City, WA 99115 Phone: 509-632-5776 | |
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 N. Adams St, Coulee City, WA 99115 Phone: 509-632-5701 Fax: 509-632-5825 |