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Organization
KVH
Active
Organization
KVH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE HEBERT CEO (CEO)
(509) 773-4020
Entity
Organization
Contact information
Practice address
310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
(509) 773-4020
Mailing address
310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
(509) 773-4020
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
AP30001359
WA
282NR1301X
Rural Acute Care Hospital
RN00065003
WA
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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