Provider Demographics
NPI:1750268736
Name:COUNTY OF GRANT
Entity type:Organization
Organization Name:COUNTY OF GRANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF DEPUTY
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:COATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-754-2011
Mailing Address - Street 1:35 C ST NW
Mailing Address - Street 2:PO BOX 37
Mailing Address - City:EPHRATA
Mailing Address - State:WA
Mailing Address - Zip Code:98823
Mailing Address - Country:US
Mailing Address - Phone:509-237-4589
Mailing Address - Fax:
Practice Address - Street 1:35 C ST NW
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:WA
Practice Address - Zip Code:98823-1685
Practice Address - Country:US
Practice Address - Phone:509-237-4589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF GRANT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility