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CAH501308-00 Douglas, Grant, Lincoln, Okanogan Counties Public Hospital District #6 (Active)
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Main Details
Name
Douglas, Grant, Lincoln, Okanogan Counties Public Hospital District #6
Subdivision Name
Coulee Medical Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH501308-00
Medicare Provider Number
501308
Additional Details
Current Program Status
Active
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/10/2013
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Coulee Medical Center
Kelly Hughes, Chief Executive Officer
(509) 633-6360
Primary Contact
Coulee Medical Center
Catrina R Schwartz, Pharmacist in Charge
(509) 633-6331 Ext: 7603
Addresses
Street Address
411 Fortuyn Road
Grand Coulee, WA 99133
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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