Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COQUILLE INDIAN TRIBE
NPI 1376592287
Clinic/Center in Coos Bay, OR

Active since May 08, 2006
630 MILUK DR, COOS BAY, OR 97420(541) 888-9494(541) 888-4435 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, Nov 3, 2025, Feb 25, 2025 and 2 more (5 updates tracked since 2021).

About Coquille Indian Tribe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COQUILLE INDIAN TRIBE (NPI 1376592287), doing business as Ko-kwel Wellness Center, is a healthcare organization registered as a clinic/center in Coos Bay, Oregon and active in the NPI registry since May 2006. The organization maintains 2 additional practice locations and lists Charise Rich, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1376592287
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOQUILLE INDIAN TRIBE
Location Address630 MILUK DRCoos Bay, OR 97420-7728
Mailing Address630 Miluk DrCoos Bay, OR 97420-7728 · (541) 888-9494 · Fax (541) 888-4435
Fax(541) 888-4435
Organization SubpartNo
Authorized OfficialCharise RichBilling Manager · (541) 888-9494
Enumeration DateMay 8, 2006
Last NPPES UpdateSeptember 28, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1376592287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedMassage TherapistTaxonomy 225700000X
630 MILUK DR, Coos Bay, OR 97420

Other Names 1

Doing Business AsKo-kwel Wellness Center

Secondary Practice Locations 2

Location 12401 River Rd Ste 101Eugene, OR 97404-5412 · Phone (541) 916-7025 · Fax (541) 916-7048
Location 22401 River Rd Ste 200Eugene, OR 97404-5417 · Phone (541) 916-7025 · Fax (541) 636-0081

Other Identifiers 1

Medicaid165031OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Coquille Indian Tribe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Coquille Indian Tribe, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Clinical Social Worker4
Family Practice4
Internal Medicine3
Nurse Practitioner3
Mental Health Counselor2
Physical Therapist in Private Practice2
Psychiatry2
Anesthesiology1
1 other specialty1

Nearest to this location (20)

See all 22
Registered Dietitian or Nutrition Professional
NPI 1366555153
630 MILUK DR
Coos Bay, OR 97420
(541) 500-7082
✔ Accepts MedicareSame address
Psychiatry
NPI 1659110013
630 MILUK DR
Coos Bay, OR 97420
(541) 888-9494
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1225013485
150 S WALL ST
Coos Bay, OR 97420
(541) 435-7200
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1447928494
180 S EMPIRE BLVD
Coos Bay, OR 97420
(775) 304-3811
✔ PECOS✔ Accepts Medicare2.6 mi
Physical Therapist in Private Practice
NPI 1578664710
1900 WOODLAND DR
Coos Bay, OR 97420
(541) 267-5151
✔ Accepts Medicare3.4 mi
Family Practice
NPI 1932216751
1900 WOODLAND DR
Coos Bay, OR 97420
(541) 267-5151
✔ PECOS✔ Accepts Medicare3.4 mi
Physical Therapist in Private Practice
NPI 1205178811
1957 THOMPSON RD
Coos Bay, OR 97420
(541) 266-7050
✔ Accepts Medicare3.6 mi
Mental Health Counselor
NPI 1669787115
390 1ST ST SW SUITE 2B
Bandon, OR 97411
(541) 329-0555
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1952144156
2401 RIVER RD STE 101
Eugene, OR 97404
(541) 916-7025
✔ PECOS✔ Accepts Medicare78 mi
Internal Medicine
NPI 1497026272
2401 RIVER RD STE 200
Eugene, OR 97404
(541) 916-7025
✔ PECOS78 mi
Psychiatry
NPI 1881915015
923 NW GRANT AVE
Corvallis, OR 97330
(541) 313-5847
✔ PECOS✔ Accepts Medicare99 mi
Clinical Social Worker
NPI 1356755581
1675 NORTHCREST DR
Crescent City, CA 95531
(707) 464-2750
✔ PECOS✔ Accepts Medicare109 mi
Family Practice
NPI 1821409731
38181 GILKEY RD
Scio, OR 97374
(503) 260-2531
✔ PECOS✔ Accepts Medicare115 mi
Internal Medicine
NPI 1972792992
1011 COMMERCIAL ST NE STE 110
Salem, OR 97301
(503) 983-9900
✔ PECOS126 mi
Anesthesiology
NPI 1629322888
1011 COMMERCIAL ST NE STE 110
Salem, OR 97301
(503) 983-9900
✔ PECOS126 mi
Clinical Social Worker
NPI 1053884791
6000 NEW WAY
Klamath Falls, OR 97601
(541) 966-9830
✔ PECOS✔ Accepts Medicare148 mi
Clinical Social Worker
NPI 1255007498
7850 SE 114TH AVE
Portland, OR 97266
(503) 515-2018
✔ PECOS✔ Accepts Medicare169 mi
Mental Health Counselor
NPI 1396994695
10 PIER 1 STE 202
Astoria, OR 97103
(503) 325-6084
✔ PECOS198 mi
Family Practice
NPI 1407286503
2525 CAMINO DEL RIO S STE 107
San Diego, CA 92108
(619) 202-5276
✔ PECOS✔ Accepts Medicare827 mi
Nurse Practitioner
NPI 1295042331
8 E COTTONWOOD ST
Cottonwood, AZ 86326
(877) 634-7333
✔ PECOS✔ Accepts Medicare887 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coquille Indian Tribe's NPI number?

The NPI number for Coquille Indian Tribe is 1376592287. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Ko-Kwel Wellness Center.

Where is Coquille Indian Tribe located?

Coquille Indian Tribe is located at 630 Miluk Dr, Coos Bay, OR 97420. The listed phone number is (541) 888-9494.

What is Coquille Indian Tribe's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Coquille Indian Tribe enrolled in Medicare?

Yes. Coquille Indian Tribe is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coquille Indian Tribe?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 9 Medicare specialties reassign their Medicare billing to Coquille Indian Tribe. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4), Family Practice (4) and Internal Medicine (3). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Coquille Indian Tribe accept?

Health plans from Moda Health Plan, Inc. list Coquille Indian Tribe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coquille Indian Tribe was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.