COULEE FAMILY MEDICINE
NPI 1619025574
Clinic/Center - Community Health in Grand Coulee, WA

Active since January 08, 2007CLIA 50D0705641 · Waiver
411 FORTUYN RD, GRAND COULEE, WA 99133(509) 633-1753 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coulee Family Medicine NPPES

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

COULEE FAMILY MEDICINE (NPI 1619025574) is a healthcare organization registered as a community health in Grand Coulee, Washington and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Julie D Parrish, Crednetialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619025574
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameDOUGLAS, GRANT, LINCOLN, OKANOGAN PUBLIC HOSPITAL DISTRICT #6
Location Address411 FORTUYN RDGrand Coulee, WA 99133-8718
Mailing Address411 Fortuyn RdGrand Coulee, WA 99133-8718
Organization SubpartNo
Authorized OfficialJulie D ParrishCrednetialing Coordinator · (509) 633-6388
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1619025574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
411 FORTUYN RD, Grand Coulee, WA 99133

Other Names 1

Doing Business AsCoulee Family Medicine

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 Waiver 50D0705641

Coulee Family Medicine · Grand Coulee, WA
Active · expires Apr 4, 2028
CLIA Number50D0705641
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAndrew Castrodale
Laboratory Phone(509) 633-1911
Laboratory LocationCoulee Family Medicine411 Fortuyn Rd, Grand Coulee, WA 99133
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Physical Therapist
411 FORTUYN RD
GRAND COULEE, WA 99133
Clinic/Center (Primary Care)
411 FORTUYN RD
GRAND COULEE, WA 99133
Long Term Care Hospital
411 FORTUYN RD
GRAND COULEE, WA 99133
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133
Family Medicine
411 FORTUYN RD
GRAND COULEE, WA 99133
Registered Nurse
411 FORTUYN RD
GRAND COULEE, WA 99133
Physician Assistant
411 FORTUYN RD
GRAND COULEE, WA 99133
General Acute Care Hospital (Critical Access)
411 FORTUYN RD
GRAND COULEE, WA 99133

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 Public Hospital District #6's NPI number?

The NPI number for Douglas, Grant, Lincoln, Okanogan Public Hospital District #6 is 1619025574. It was assigned to this organization in the NPPES registry on January 8, 2007. The provider is doing business as Coulee Family Medicine.

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

Douglas, Grant, Lincoln, Okanogan Public Hospital District #6 is located at 411 Fortuyn Rd, Grand Coulee, WA 99133. The listed phone number is (509) 633-1753.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

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

Yes. A Certificate of Waiver (number 50D0705641) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Douglas, Grant, Lincoln, Okanogan Public Hospital District #6 was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.