KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1 (NPI# 1407952369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407952369 |
| Entity Type | Organization |
| Organization Name | KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Other Organization Name | KVH FAMILY MEDICINE |
| Practice Address |
317 Sanders Way Goldendale WA 98620-9053 |
| Mailing Address |
310 S Roosevelt Ave Goldendale WA 98620-9201 |
| Practice Telephone | 5097734017 |
| Practice Fax Number | 5097731941 |
| Mailing Telephone | 5097734022 |
| Mailing Fax Number | 5097731941 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | LESLIE HIEBERT (CEO) |
| Authorized Official Telephone | 5097734022 |
| Is Organization Subpart | Y |
| Parent Organization Name | KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7113681 | 05 |
| Other Name | Type Code |
|---|---|
| KVH FAMILY MEDICINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780754507 | Klickitat County Public Hospital District No 1 | Clinic/Center | 310 S Roosevelt Ave, Goldendale, WA 98620-9201 | 2006-11-09 |
| 1467530915 | Klickitat County Public Hospital District No 1 | Clinic/Center | 317 Sanders Way, Goldendale, WA 98620-9053 | 2006-11-01 |
| 1942386156 | Klickitat County Public Hospital District No 1 | Home Health | 310 S Roosevelt Ave, Goldendale, WA 98620-9201 | 2006-10-31 |
| 1851477061 | Klickitat County Public Hospital District No 1 | Hospice Care, Community Based | 310 S Roosevelt Ave, Goldendale, WA 98620-9201 | 2006-10-31 |
| 1386689487 | Klickitat County Public Hospital District No 1 | Clinic/Center | 310 S Roosevelt Ave, Goldendale, WA 98620-9201 | 2006-06-20 |
| Street Address |
317 SANDERS WAY |
| City | GOLDENDALE |
| State | WA |
| Zip Code | 98620-9053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679086516 | Mid-columbia Medical Center | Clinic/Center | 317 Sanders Way, Goldendale, WA 98620-9059 | 2017-11-14 |
| 1558870832 | Skylar Liam Newkirk | Social Worker | 317 Sanders Way, Goldendale, WA 98620-9059 | 2017-09-29 |
| 1699175240 | Kayla Elliott | Physician Assistant | 317 Sanders Way, Goldendale, WA 98620-9059 | 2014-09-02 |
| 1104260496 | Nathan Christian Armerding | Family Medicine | 317 Sanders Way, Goldendale, WA 98620-9059 | 2013-04-17 |
| 1467530915 | Klickitat County Public Hospital District No 1 | Clinic/Center | 317 Sanders Way, Goldendale, WA 98620-9053 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497158992 | Tawna L Barck | Physician Assistant | 310 S Roosevelt, Goldendale, WA 98620 | 2014-09-29 |
| 1629404496 | Brittany Pierce | Case Manager/Care Coordinator | 1500 S Columbus Ave, Goldendale, WA 98620 | 2013-09-24 |
| 1235176611 | Amy Tan | Surgery | 310 S Roosevelt St, Goldendale, WA 98620 | 2006-06-02 |
| 1558828467 | Public Hospital District 1 of Klickitat Co | Pharmacy | 310 S Roosevelt, Goldendale, WA 98620 | 2019-02-27 |
| 1316493786 | Justin Knight | Case Manager/Care Coordinator | 112 W Main St, Goldendale, WA 98620 | 2016-08-26 |
| 1932456878 | Shawna Fletcher | Pharmacist | 310 S Roosevelt Ave, Goldendale, WA 98620 | 2012-08-09 |
| 1184845901 | James Tuning | Counselor | 112 W. Main St., Goldendale, WA 98620 | 2007-05-01 |
| 1891916615 | Sunday Sutton | Counselor | 112 W. Main St., Goldendale, WA 98620 | 2007-05-01 |
| 1871714857 | Comprehensive Healthcare | Community/Behavioral Health | 112 W Main St, Goldendale, WA 98620 | 2007-05-01 |
| 1720207830 | Comprehensive Healthcare | Community/Behavioral Health | 112 W Main St, Goldendale, WA 98620 | 2007-04-25 |
| Find all providers in zip 98620 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
| City | GOLDENDALE |
| Zip Code | 98620 |
Please comment or provide details below to improve the information on KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.