DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6 (NPI# 1720208739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720208739 |
| Entity Type | Organization |
| Organization Name | DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6 |
| Other Organization Name | COULEE COMMUNITY HOSPITAL |
| Practice Address |
411 Fortuyn Rd Grand Coulee WA 99133-8718 |
| Practice Telephone | 5096336388 |
| Practice Fax Number | 5096333644 |
| Mailing Telephone | 5096336388 |
| Mailing Fax Number | 5096333644 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JULIE PARRISH (HR) |
| Authorized Official Telephone | 5096336388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 839108 | 05 |
| Other Name | Type Code |
|---|---|
| Coulee Community Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093878209 | Douglas, Grant, Lincoln and Okanogan Counties Hospital District #6 | Long Term Care Hospital | 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | 2006-12-18 |
| Street Address |
411 FORTUYN RD |
| City | GRAND COULEE |
| State | WA |
| Zip Code | 99133-8718 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 99133 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295771376 | Public Hospital District 3 of Pacific County | Clinic/Center | 174 1st Avenue North, Ilwaco, WA 98624-0258 | 2006-06-20 |
| 1306897681 | Prosser Public Hospital District of Benton County | Clinic/Center | 723 Memorial Street, Prosser, WA 99350-1524 | 2006-05-12 |
| 1922410075 | Chelan County Public Hopsital District No 2 | Clinic/Center | 503 E Highland Ave, Chelan, WA 98816-8631 | 2014-05-23 |
| 1124438312 | Chelan County Public Hospital District No 2 | Clinic/Center | 503 E Highland Ave, Chelan, WA 98816-8631 | 2014-04-28 |
| 1649324674 | Lewis County Hospital Dist #1 | Clinic/Center | 521 Adams Avenue, Morton, WA 98356 | 2007-01-23 |
| City | GRAND COULEE |
| Zip Code | 99133 |
Please comment or provide details below to improve the information on DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6.
| 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.