NPIMap

Organization Active NPI

Douglas,Grant, Lincoln and Okanogan Counties Hospital District #6

Doing business as Coulee City Clinic

  • Community Health Clinic/Center
  • Coulee City, WA
National Provider Identifier
1689722472
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
DOUGLAS,GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6
Doing business as
Coulee City Clinic
Practice address
130 N Adams
Coulee City, WA 99115
Phone
(509) 632-5776
NPI assigned
Jan 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Julie D Parrish
Title
Credentialing Coordinator
Phone
(509) 633-6388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

130 N Adams
Coulee City, WA 99115

Mailing address

411 Fortuyn Rd
Grand Coulee, WA 99133-8718

Other names 1

  • Coulee City Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0638061Coulee City Medical Clinic130 North Adams, Coulee City, WA 99115Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Coulee Community Clinic22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689722472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N ADAMS",
            "city": "COULEE CITY",
            "state": "WA",
            "postal_code": "99115",
            "telephone_number": "509-632-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS,GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "509-633-6388",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coulee City Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coulee City, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.