| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 130 N Adams, Coulee City, Washington |
| Authorized Official Name and Position | Julie D Parrish (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5096336388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
411 Fortuyn Rd Grand Coulee WA 99133-8718 Ph: () - | 130 N Adams Coulee City WA 99115 Ph: (509) 632-5776 |
| NPI Number | 1689722472 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689722472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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 |