Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 | |
411 Fortuyn Rd Grand Coulee WA 99133-8718 | |
(509) 633-6375 | |
(509) 633-3644 |
Full Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
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Speciality | Clinic/Center |
Location | 411 Fortuyn Rd, Grand Coulee, Washington |
Authorized Official Name and Position | Jean Clark (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 5096336345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 411 Fortuyn Rd Grand Coulee WA 99133-8718 Ph: (509) 633-1911 | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 411 Fortuyn Rd Grand Coulee WA 99133-8718 Ph: (509) 633-6375 |
NPI Number | 1457420218 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 07/07/2017 |
Medicare PECOS PAC ID | 9335050285 |
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Medicare Enrollment ID | O20050713000325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457420218 | NPI | - | NPPES |
1016404 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Douglas, Grant, Lincoln And Okanogan Couties Public Hosp. Dist. #6 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 | |
Douglas, Grant, Lincolc And Okanogan Couties Public Hosp. Dist. #6 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 | |
Douglas, Grant, Lincoln, Okanogan Public Hospital District #6 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 | |
Douglas, Grant, Lincoln, And Okanogan Counties Public Hosp. Dist. #6 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 | |
Douglas, Grant, Lincoln And Okanogan Counties Public Hosp. Dist. #6 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 |