DOUGLAS, GRANT, LINCOLC AND OKANOGAN COUTIES PUBLIC HOSP. DIST. #6


Address: 411 Fortuyn Rd, Grand Coulee, WA 99133-8718
Phone: 5096331753

DOUGLAS, GRANT, LINCOLC AND OKANOGAN COUTIES PUBLIC HOSP. DIST. #6 (NPI# 1588793798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588793798
Entity Type Organization
Organization Name DOUGLAS, GRANT, LINCOLC AND OKANOGAN COUTIES PUBLIC HOSP. DIST. #6
Other Organization Name COULEE COMMUNITY HOSPITAL
Practice Address 411 Fortuyn Rd
Grand Coulee
WA 99133-8718
Practice Telephone 5096331753
Practice Fax Number 5096333644
Mailing Telephone 5096331753
Mailing Fax Number 5096333644
Enumeration Date 2007-03-05
Last Update Date 2020-08-22
Authorized Official Name JULIE PARRISH (CREDENTIALING COORDINATOR)
Authorized Official Telephone 5096336388
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA 7122609 05

Other Provider/Organization Names

Other Name Type Code
Coulee Community Hospital Doing Business As Name - Organization

Office Location

Street Address 411 FORTUYN RD
City GRAND COULEE
State WA
Zip Code 99133-8718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205838703 David Martin Brown Nurse Anesthetist, Certified Registered 411 Fortuyn Rd, Coulee Community Hospital, Grand Coulee, WA 99133-8718 2005-08-15
1144725664 Amy Anne Haden Registered Nurse 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2018-03-27
1639689748 Cheney Owl Pharmacy Inc Pharmacy 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2017-10-03
1982050779 Leah G Kobes Family Medicine 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2016-05-11
1003274614 Anna Hardesty Physical Therapist 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2016-02-10
1740653807 Kathleen Christine Henry Physician Assistant 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2015-11-10
1255709614 Melissa Stanley Registered Nurse 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2015-09-02
1134516933 Jennifer Knox Family Medicine 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2015-04-20
1780080515 Jacie L Van Blaricom Dietitian, Registered 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2014-11-05
1538589023 Marilynn Holman Psychiatry & Neurology 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2014-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134754468 Alexander Chhun Tor Pharmacist 320 Midway Ave., Grand Coulee, WA 99133 2020-03-06
1093081333 Cara Turner Pharmacist 320 Midway Avenue, Grand Coulee, WA 99133 2012-03-30
1922312479 Elizabeth Hsu Internal Medicine 411 Fortuyn Road, Grand Coulee, WA 99133 2010-07-27
1295909448 Jg Pepperd Dc Pllc Chiropractor 400 Burdin Blvd, Grand Coulee, WA 99133 2008-04-18
1629171616 Galen Neal Schmidt Optometrist 407 Burdin Blvd., Grand Coulee, WA 99133 2006-09-06
1841230489 Lesa Eiffert Counselor 322 Fortuyn Rd, Grand Coulee, WA 99133 2006-06-08
1578919700 Real Vision, Inc Optometrist 407 Burdin Blvd, Grand Coulee, WA 99133 2016-05-06
1255770020 Kyle M. Gillespie, O.d., Ltd. Optometrist 407 Burdin Blvd, Grand Coulee, WA 99133 2013-06-14
1568716975 Kai Scott Physical Therapist 321 Burdin Boulevard, Grand Coulee, WA 99133 2012-11-07
1972657328 Kelly J Prather Physical Therapist 321 Burdin Blvd, Grand Coulee Physical Therapy, Grand Coulee, WA 99133 2007-01-23
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689703894 Douglas, Grant, Lincoln, and Okanogan Counties Public Hosp. Dist. #6 Clinic/Center 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2007-03-05
1457420218 Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Clinic/Center 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 2006-11-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811555931 Okanogan County Public Hospital Dist No 4 Clinic/Center 118 N Whitcomb Ave, Tonasket, WA 98855-8803 2019-06-04
1790204154 Sunnyside Community Hospital Association Clinic/Center 715 N Park Ctr, Selah, WA 98942-1174 2017-09-15
1699215384 Sunnyside Community Hospital Association Clinic/Center 505 W 4th Ave, Toppenish, WA 98948-1615 2017-03-01
1609112739 Grant County Public Hospital District. No. 1 Clinic/Center 8420 Aspi Blvd, Moses Lake, WA 98837-1820 2012-12-18
1801188073 Jefferson County Public Hospital District No 2 Clinic/Center 89 Breaker Ln, Port Ludlow, WA 98365-9766 2011-05-06
1255651907 Family Care Network Pllc Clinic/Center 2511 M Ave Ste A, Anacortes, WA 98221-3897 2010-06-04
1871822676 Public Hospital District 3 of Pacific County Clinic/Center 167 1st Avenue North, Ilwaco, WA 98624-0319 2009-12-08
1720276207 Richard L. Dickson Clinic/Center 481 West E St, Forks, WA 98331 2007-10-09
1316138720 L. Keith Hanson Pllc Clinic/Center 520 W. Indian Avenue, Brewster, WA 98812 2007-08-09
1407055742 San Juan Healthcare PC Clinic/Center 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 2007-07-17
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Competitor

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City GRAND COULEE
Zip Code 99133

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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