Organization
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Parent organization
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Other names
KVH FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Authorized official
LESLIE HIEBERT (CEO)
(509) 773-4022
Entity
Organization
Contact information
Practice address
317 SANDERS WAY, GOLDENDALE, WA 98620-9053
(509) 773-4017
(509) 773-1941
Mailing address
310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
(509) 773-4022
(509) 773-1941
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7113681
—
WA
Enumeration date
09/16/2006
Last updated
12/20/2021
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