Provider Demographics
NPI:1689722472
Name:DOUGLAS,GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6
Entity Type:Organization
Organization Name:DOUGLAS,GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6
Other - Org Name:COULEE CITY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-633-6388
Mailing Address - Street 1:411 FORTUYN RD
Mailing Address - Street 2:
Mailing Address - City:GRAND COULEE
Mailing Address - State:WA
Mailing Address - Zip Code:99133-8718
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:130 N ADAMS
Practice Address - Street 2:
Practice Address - City:COULEE CITY
Practice Address - State:WA
Practice Address - Zip Code:99115
Practice Address - Country:US
Practice Address - Phone:509-632-5776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health