| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 07/07/2017 |
| Medicare PECOS PAC ID | 9335050285 |
|---|---|
| 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 |