| Coulee Community Hospital | |
|
411 Fortuyn Rd Grand Coulee WA 99133-8718 | |
| (509) 633-1753 | |
| (509) 633-3644 |
| Full Name | Coulee Community Hospital |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 411 Fortuyn Rd, Grand Coulee, Washington |
| Authorized Official Name and Position | Julie Parrish (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5096336388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coulee Community Hospital 411 Fortuyn Rd Grand Coulee WA 99133-8718 Ph: (509) 633-1753 | Coulee Community Hospital 411 Fortuyn Rd Grand Coulee WA 99133-8718 Ph: (509) 633-1753 |
| NPI Number | 1023147238 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023147238 | NPI | - | NPPES |
| 7122625 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Coulee Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-6375 Fax: 509-633-3644 | |
Coulee Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-3644 | |
Coulee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 | |
Coulee Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-3644 | |
Coulee Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-3644 |