DOUGLAS GRANT LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6 NPI 1699851840

NPI Information

DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6 is a medicare defined swing bed unit in Grand Coulee, WA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6 NPI is 1699851840. The provider is registered as an organization entity type.
The provider Is Doing Business As Coulee Medical Center.

The provider's business location address is:

411 FORTUYN RD
GRAND COULEE, WA
ZIP 99133-718
Phone: (509) 633-1753
Fax: (509) 633-1933

The provider's authorized official is Jean Clark .
The authorized official title is Credentialing Coordinator and has the following contact phone number (509) 633-6345.

The CLIA number assigned to this NPI record is 50D0638826 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/7/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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