# KLICKITAT COUNTY HEALTH DEPARTMENT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KLICKITAT COUNTY
- **Other names:** Maternity Support Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477745941
- **Legal business name:** KLICKITAT COUNTY
- **Authorized official:** ERINN QUINN ARNP (DIRECTOR, PUBLIC HEALTH)
- **Authorized official phone:** (509) 773-4565

## Contact information

- **Practice address:** 115 W COURT ST, ROOM\# 103, GOLDENDALE, WA 98620-8905
- **Practice address phone:** (509) 773-4565
- **Practice address fax:** (509) 773-5991
- **Mailing address:** 115 W. COURT ST, MS-CH - BOX\# 103, GOLDENDALE, WA 98620-8905
- **Mailing address phone:** (509) 773-4565
- **Mailing address fax:** (509) 773-5991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2007
- **Last updated:** 02/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1011445 | — | WA |