NPIMap

Organization Active NPI

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

Doing business as Coulee Medical Center

  • Rural Health Clinic/Center
  • Coulee City, WA
National Provider Identifier
1720169048
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6
Doing business as
Coulee Medical Center
Practice address
218 W Main St
Coulee City, WA 99115
Phone
(509) 632-5701
NPI assigned
Oct 17, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 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) 633-6360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

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 names 1

  • Coulee Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030717000035 WA Part A Provider - Rural Health Clinic 9335050285 Practice locations: Coulee City, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720169048. Details of each certification follow.

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
OtherNon-profit
Enrollment address
218 W Main St
Coulee City, WA 99155
Related CCNs
501308

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).

National Provider Directory

National Provider Directory
Tax ID family
Douglas Grant Lincolc and Okanogan Couties Public Hosp Dist 622 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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Kelly Jean Hughes Individual Corporate DirectorCfo Jun 19, 2017
W-2 Managing EmployeeCeo Jul 1, 2024
Operational/Managerial ControlCeo Jul 1, 2024
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Organization, Coulee City, WA Other Feb 1, 1997

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 501308 Hospital Other Jan 1, 1990
Coulee Medical CenterGrand Coulee, WA, CCN 50Z308 Hospital Other Jan 1, 1990
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 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1720169048",
    "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": "218 W MAIN ST",
            "city": "COULEE CITY",
            "state": "WA",
            "postal_code": "99115",
            "telephone_number": "509-632-5701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 N. Adams St",
            "address_purpose": "LOCATION",
            "city": "Coulee City",
            "state": "WA",
            "postal_code": "99115",
            "country_code": "US",
            "telephone_number": "509-632-5701",
            "fax_number": "509-632-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOUGLAS, GRANT, LINCOLN & OKANOGAN COUNTIES PUBLIC HOSPITAL DISTRICT 6",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-633-6360"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coulee Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coulee City, WA

Sources for this page

Verify at the official NPI Registry.