Organization
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Other names
KLICKITAT VALLEY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE HIEBERT (CEO)
(509) 773-4022
Entity
Organization
Contact information
Practice address
310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
(509) 773-4022
Mailing address
310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
(509) 773-4022
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
WA
261QX0100X
Occupational Medicine Clinic/Center
—
—
282NC0060X
Critical Access Hospital
Primary
202000768
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3304904
—
WA
Enumeration date
06/20/2006
Last updated
12/20/2021
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