NPIMap

Organization Active NPI

Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Critical Access Hospital
  • Grand Coulee, WA
National Provider Identifier
1184844185
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
Practice address
411 Fortuyn Rd
Grand Coulee, WA 99133
Phone
(509) 633-1753
Fax
(509) 633-1933
NPI assigned
May 1, 2007
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Hughes
Title
Ceo
Phone
(509) 633-1753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

411 Fortuyn Rd
Grand Coulee, WA 99133

Mailing address

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753

Other practice location 1

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753

Other identifiers 1

IdentifierTypeStateIssuer
1020372MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000547 WA Part A Provider - Critical Access Hospital 9335050285 Receives reassigned benefits from 52 practitioners
Practice locations: Grand Coulee, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184844185. Details of each certification follow.

Hospital certification: CCN 501308

Legal name
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
Doing business as
COULEE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2001
Last certification
Jul 14, 2018
Beds
48 (15 certified)
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Coulee Medical CenterCCN 501308 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Coulee Community Clinic22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Interoperability endpoints

  • Direct secure messaging: baconb@cmccares.cernerdirect.com
  • Direct secure messaging: brunnes@cmccares.cernerdirect.com
  • Direct secure messaging: castroa@cmccares.cernerdirect.com
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  • Direct secure messaging: haggarc@cmccares.cernerdirect.com
  • Direct secure messaging: hardesa@cmccares.cernerdirect.com
  • Direct secure messaging: holmanm1@cmccares.cernerdirect.com
  • Direct secure messaging: hsiehh@cmccares.cernerdirect.com
  • Direct secure messaging: hsue@cmccares.cernerdirect.com
  • Direct secure messaging: hughesw@cmccares.cernerdirect.com
  • Direct secure messaging: kingr@cmccares.cernerdirect.com
  • Direct secure messaging: knoxj@cmccares.cernerdirect.com
  • Direct secure messaging: leeb2@cmccares.cernerdirect.com
  • Direct secure messaging: mcconna@cmccares.cernerdirect.com
  • Direct secure messaging: mcglotc@cmccares.cernerdirect.com
  • Direct secure messaging: myersr@cmccares.cernerdirect.com
  • Direct secure messaging: rimplek@cmccares.cernerdirect.com
  • Direct secure messaging: rimpleml@cmccares.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ramona Hicks Individual Corporate OfficerCeo Feb 1, 2018
W-2 Managing EmployeeCeo Feb 1, 2018
Operational/Managerial ControlCeo Feb 1, 2018
Kelly Jean Hughes Individual Corporate OfficerCfo Jun 19, 2017
W-2 Managing EmployeeCfo Jun 19, 2017
Operational/Managerial ControlCfo Jun 19, 2017
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Organization, Grand Coulee, WA Created for acquisition, Non-profit Other Jan 1, 1990

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coulee Medical CenterGrand Coulee, WA, CCN 50Z308 Hospital Other Jan 1, 1990
Coulee Medical CenterCoulee City, WA, CCN 508535 Rural health clinic Other Feb 1, 1997
Coulee Family MedicineGrand Coulee, WA, CCN 503981 Rural health clinic Operational/Managerial Control Apr 29, 1992

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

Affiliated clinicians 58

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 58

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1184844185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1753",
            "fax_number": "509-633-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "99133",
            "telephone_number": "509-633-1753",
            "fax_number": "509-633-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Fortuyn Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Coulee",
            "state": "WA",
            "postal_code": "991338718",
            "country_code": "US",
            "telephone_number": "509-633-1753",
            "fax_number": "509-633-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-633-1753"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020372",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Coulee, WA

Sources for this page

Verify at the official NPI Registry.