Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6
Organization Active NPI Rural Health Clinic/Center · Coulee City, WA
NPI 1720169048 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1720169048
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
- Practice address
- 218 W Main St
Coulee City, WA 99115 - Phone
- (509) 632-5701
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Kelly Hughes
- Title
- Ceo
- Phone
- (509) 633-6360
Owners & managing parties with NPI records 4
Owned or controlled facilities with NPI records 3
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 21
Related certifications (CCN) 1
Practitioners 44
-
Sarah Dimino, M.D.
-
Johnsie Hughes, FNP-C
-
Matthew Glen Scott, M.D.
-
Rana N Ahmad, MD
-
Eric Aronsohn, PA-C
-
Rita Ann Davis, ARNP
-
Eric P Dudenhofer, ARNP
-
Karie Fields, LSWAIC
-
Kathleen Christine Henry, P.A.-C
-
Abby Horak, ARNP
-
Hsien Sing Sam Hsieh, MB BCH BAO
-
Elizabeth Hsu, MB BCH BAO
-
Wendy A Hughes, ARNP
-
Jennifer Knox, MD
-
Alvina Mary Marris, PHD
-
Andrew Timothy Marsh, CRNA
-
Joshua Levi Mayfield, PA-C
-
Christopher C McGlothlen, PA-C
-
Rhonda Marie Ramm, ARNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Rural health clinic certification: CCN 508535
- Legal name
- DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
- Doing business as
- COULEE MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 15, 2004
- Last certification
- Aug 28, 2017
- Ownership / control type
- Non-profit – church related
- Organization structure
- Other · Non-profit
- Enrollment address
- 218 W Main St
Coulee City, WA 99155 - Related CCNs
- 501308
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Kelly Jean Hughes |
Corporate Director |
Jun 19, 2017 | |
| W-2 Managing Employee |
Jul 1, 2024 | ||
| Operational/Managerial Control |
Jul 1, 2024 | ||
| Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
Other | Feb 1, 1997 |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Coulee Medical Center |
Hospital | Other | Jan 1, 1990 |
| Coulee Medical Center |
Hospital | Other | Jan 1, 1990 |
| Coulee Family Medicine |
Rural health clinic | Operational/Managerial Control | Apr 29, 1992 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030717000035 | WA | Part a Provider - Rural Health Clinic | 9335050285 | Practice locations: Coulee City, WA |
National Provider Directory
- Tax ID family
- Douglas Grant Lincoln Okanogan Counties Public Hospital District 6
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
218 W Main St
Coulee City, WA 99115
Mailing address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753
Other practice location 1
130 N. Adams St
Coulee City, WA 99115
Phone (509) 632-5701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014101 | Medicaid | WA |
Other names
- Coulee Medical Center
Other providers in Coulee City, WA
- Coulee Chiropractic, Inc.
- Coulee-Hartline School District
- DNK Partners LLC
- Douglas,Grant, Lincoln and Okanogan Counties Hospital District #6
- Jamie L Henry
- Zenda Ranae Hubbard
- Town of Coulee City
- Tyrone Thomas Trexler
All providers in Coulee City, WA · Rural Health Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.