| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | |
|
130 N. Adams St Coulee City WA 99115 | |
| (509) 632-5701 | |
| (509) 632-5825 |
| Full Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 N. Adams St, Coulee City, Washington |
| Authorized Official Name and Position | Jean Clark (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5096336345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 411 Fortuyn Rd Grand Coulee WA 99133-8718 Ph: (509) 633-1753 | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 130 N. Adams St Coulee City WA 99115 Ph: (509) 632-5701 |
| NPI Number | 1720169048 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 03/19/2019 |
| Medicare PECOS PAC ID | 9335050285 |
|---|---|
| Medicare Enrollment ID | O20030717000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720169048 | NPI | - | NPPES |
| 1014101 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Banks Lake Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 West Main, Coulee City, WA 99115 Phone: 509-386-3328 | |
Coulee City Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 N Adams, Coulee City, WA 99115 Phone: 509-632-5776 |