Organization · Type 2 NPI

Klickitat County Public Hospital District No 1

Rural Health Clinic/Center · Goldendale, WA

NPI number 1407952369 Active

Practice location

317 Sanders Way
Goldendale, WA 98620-9053

Call (509) 773-4017 Map

Fax (509) 773-1941

Mailing address

310 S Roosevelt Ave
Goldendale, WA 98620-9201

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

9 other providers at this address

NPI record

NPI: 1407952369
Entity type: Organization (Type 2)
Issued: Sep 16, 2006
Last updated: Dec 20, 2021
Status: Active
Subpart: Yes of Klickitat County Public Hospital District No 1

Other names

<unavail>
KVH Family Medicine · doing business as
KVH Family Medicine · doing business as

Authorized official

Leslie Hiebert
CEO
(509) 773-4022

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407952369

Klickitat County Public Hospital District No 1's National Provider Identifier is 1407952369, issued on Sep 16, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Goldendale, WA. The record was last updated on Dec 20, 2021.