Town of Coulee City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

13M01 Issued in WA

Legal business name

TOWN OF COULEE CITY

Practice address

317 W Main St
Coulee City, WA 99115

Phone

(509) 632-5331

NPI assigned

Oct 10, 2006

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natalie Garrett

Title

Clerk/ Treasurer

Phone

(509) 632-5331

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1285722728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7010",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W MAIN ST",
            "city": "COULEE CITY",
            "state": "WA",
            "postal_code": "99115",
            "telephone_number": "509-632-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF COULEE CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CLERK/ TREASURER",
        "authorized_official_telephone_number": "509-632-5331"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "13M01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP-FEDERAL WORKER'S COMP",
            "identifier": "613582200",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON L&I",
            "identifier": "204191",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029726",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013431",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DNK Partners LLC (Banks Lake Medical Clinic)
• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 (Coulee Medical Center)
• Douglas,Grant, Lincoln and Okanogan Counties Hospital District #6 (Coulee City Clinic)
• Jamie L Henry, LMP
• Zenda Ranae Hubbard, LMP
• Tyrone Thomas Trexler, D.C.

• Land Ambulance in Coulee City, WA
• Providers in Coulee City, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.