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

NPI Status: Active since November 07, 2006

Contact Information

411 FORTUYN RD
GRAND COULEE, WA
ZIP 99133
Phone: (509) 633-6375
Fax: (509) 633-3644

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 50D0638826
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-04-2028

About COULEE MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Coulee Medical Center, a primary care provider established in Grand Coulee, Washington operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1457420218 assigned on November 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Coulee Medical Center. The authorized official of this NPI record is Ms. Jean Clark (Credentialing Coordinator)

NPI
1457420218
Provider Legal Name
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
Other Organization Name
COULEE MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
411 FORTUYN RD GRAND COULEE, WA 99133
Location Phone
(509) 633-6375
Location Fax
(509) 633-3644
Mailing Address
411 FORTUYN RD GRAND COULEE, WA 99133
Mailing Phone
(509) 633-1911
Mailing Fax
(509) 633-3644
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
07-07-2017
Code Navigator

A primary care provider (PCP) like Coulee Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JEAN CLARK

Authorized Official Title
CREDENTIALING COORDINATOR
Authorized Official Phone
(509) 633-6345

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1016404MEDICAID (05)WA 
503981MEDICARE OSCAR/CERTIFICATION (06)WA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0638826
Facility Type
Hospital
Certificate Effective Date
November 01, 1993
Certificate Expiration Date
April 04, 2028
Laboratory Director
CHRISTOPHER J. MONTAGUE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Coulee Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for COULEE MEDICAL CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457420218, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 4 → 8 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 8 + 2 + 0 + 2 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1457420218.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
411 FORTUYN RD, COULEE COMMUNITY HOSPITAL
GRAND COULEE, WA 99133
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133
Dietitian, Registered
411 FORTUYN RD
GRAND COULEE, WA 99133
Nurse Practitioner
411 FORTUYN RD
GRAND COULEE, WA 99133
Nurse Practitioner
411 FORTUYN RD
GRAND COULEE, WA 99133
Nurse Practitioner (Family)
411 FORTUYN RD
GRAND COULEE, WA 99133
Registered Nurse (School)
411 FORTUYN RD
GRAND COULEE, WA 99133
Family Medicine
411 FORTUYN RD
GRAND COULEE, WA 99133
Family Medicine
411 FORTUYN RD, COULEE COMMUNITY HOSPITAL
GRAND COULEE, WA 99133
Dietitian, Registered
411 FORTUYN RD
GRAND COULEE, WA 99133
Registered Nurse
411 FORTUYN RD
GRAND COULEE, WA 99133
Family Medicine
411 FORTUYN RD
GRAND COULEE, WA 99133
Physician Assistant
411 FORTUYN RD
GRAND COULEE, WA 99133
Long Term Care Hospital
411 FORTUYN RD
GRAND COULEE, WA 99133
Clinic/Center (Community Health)
411 FORTUYN RD
GRAND COULEE, WA 99133
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133
Clinic/Center (Rural Health)
411 FORTUYN RD
GRAND COULEE, WA 99133
General Acute Care Hospital
411 FORTUYN RD
GRAND COULEE, WA 99133
Clinic/Center
411 FORTUYN RD
GRAND COULEE, WA 99133
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457420218, enumerated as an "organization" on November 07, 2006.

The provider is located at 411 FORTUYN RD GRAND COULEE, WA 99133 and the phone number is (509) 633-6375.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.