Provider Demographics
NPI:1285722728
Name:TOWN OF COULEE CITY
Entity type:Organization
Organization Name:TOWN OF COULEE CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK/ TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-632-5331
Mailing Address - Street 1:PO BOX 3510
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-3510
Mailing Address - Country:US
Mailing Address - Phone:360-394-7010
Mailing Address - Fax:360-394-7099
Practice Address - Street 1:317 W MAIN ST
Practice Address - Street 2:
Practice Address - City:COULEE CITY
Practice Address - State:WA
Practice Address - Zip Code:99115
Practice Address - Country:US
Practice Address - Phone:509-632-5331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA13M013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA590013431OtherRAILROAD MEDICARE
WA1029726Medicaid
WA613582200OtherOWCP-FEDERAL WORKER'S COMP
WA204191OtherWASHINGTON L&I
WA1029726Medicaid