Healthcare Provider Details

I. General information

NPI: 1285722728
Provider Name (Legal Business Name): TOWN OF COULEE CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 W MAIN ST
COULEE CITY WA
99115
US

IV. Provider business mailing address

PO BOX 3510
SILVERDALE WA
98383-3510
US

V. Phone/Fax

Practice location:
  • Phone: 509-632-5331
  • Fax:
Mailing address:
  • Phone: 360-394-7010
  • Fax: 360-394-7099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number13M01
License Number StateWA

VIII. Authorized Official

Name: NATALIE GARRETT
Title or Position: CLERK/ TREASURER
Credential:
Phone: 509-632-5331