# KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KLICKITAT VALLEY HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780754507
- **Authorized official:** SHARON COX (CEO)
- **Authorized official phone:** (509) 773-4022

## Contact information

- **Practice address:** 310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
- **Practice address phone:** (509) 773-4022
- **Practice address fax:** (509) 773-1941
- **Mailing address:** 310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
- **Mailing address phone:** (509) 773-4022
- **Mailing address fax:** (509) 773-1941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | WA | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 08/22/2020