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COULEE MEDICAL CENTER
NPI 1457420218
Clinic/Center - Rural Health in Grand Coulee, WA

Active since November 07, 2006CLIA 50D0638826 · Certificate of Compliance
411 FORTUYN RD, GRAND COULEE, WA 99133(509) 633-6375(509) 633-3644 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Coulee Medical Center NPPES

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

COULEE MEDICAL CENTER (NPI 1457420218) is a healthcare organization registered as a rural health in Grand Coulee, Washington and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Jean Clark, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1457420218
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
Location Address411 FORTUYN RDGrand Coulee, WA 99133-8718
Mailing Address411 Fortuyn RdGrand Coulee, WA 99133-8718 · (509) 633-1911 · Fax (509) 633-1933
Phone(509) 633-6375
Fax(509) 633-3644
Organization SubpartNo
Authorized OfficialJean ClarkCredentialing Coordinator · (509) 633-6345
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 7, 2017
✔ NPI 1457420218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
411 FORTUYN RD, Grand Coulee, WA 99133
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Other Names 1

Doing Business AsCoulee Medical Center

Other Identifiers 2

Medicaid1016404WA
Medicare OSCAR/certification503981WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 50D0638826

Coulee Medical Center · Grand Coulee, WA
Active · expires Apr 4, 2028
CLIA Number50D0638826
Laboratory TypeHospital
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChristopher J. Montague
Laboratory Phone(509) 633-6377
Laboratory LocationCoulee Medical Center411 Fortuyn Rd, Grand Coulee, WA 99133
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

ANNA HARDESTY PT
Physical Therapist
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-3260
DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUTIES PUBLIC HOSP. DIST. #6
Clinic/Center (Primary Care)
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-1753
DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT #6
Long Term Care Hospital
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-6388
DOUGLAS, GRANT, LINCOLN AND OKANOGAN COUNTIES HOSPITAL DISTRICT NO. 6
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-6388
JENNIFER KNOX MD
Family Medicine
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-1753
AMY ANNE HADEN
Registered Nurse
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-1753
ALLY A WEBB PA-C
Physician Assistant
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-1753
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133
Grant County (509) 633-1753

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 Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6's NPI number?

The NPI number for Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 is 1457420218. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Coulee Medical Center.

Where is Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 located?

Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 is located at 411 Fortuyn Rd, Grand Coulee, WA 99133. The listed phone number is (509) 633-6375.

What is Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D0638826) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 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 Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 was last updated on July 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.