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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: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2025, Feb 25, 2025, Jul 21, 2022 and 1 more (4 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 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 AddressPo Box 3190Coos Bay, OR 97420-0407 · (541) 888-9494 · Fax (541) 888-4435
Phone(541) 888-9494
Fax(541) 888-4435
Organization SubpartNo
Authorized OfficialCharise RichBilling Manager · (541) 888-9494
Enumeration DateMay 8, 2006
Last NPPES UpdateNovember 3, 20254 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1376592287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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).
630 MILUK DR, Coos Bay, OR 97420
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Other Names 1

Doing Business AsKo-kwel Wellness Center

Other Identifiers 2

Medicaid165031OR
Other261Q00000XOR · Taxonomy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY MARSHALL RDH
Dental Hygienist
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 888-9494
DANIELLE UNDERWOOD RDH
Dental Hygienist
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 888-9494
SONIA AMLIN MS
Counselor (Professional)
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 888-9494
CARYN C MICKELSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 435-7039
SEAN FINNEGAN PA-C
Family Medicine
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 888-9494
MS. ALLISON HENRIE MS RD LD CDCES
Dietitian, Registered
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 500-7082
MARIAH SHOFFNER PHARMD
Pharmacist
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 435-7039
MR. JASON DONALD MECUM DHAT
Dental Therapist
630 MILUK DR
COOS BAY, OR 97420
Coos County (541) 888-9494

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.

What insurance does Coquille Indian Tribe accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon 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 November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.