Organization
KLICKITAT COUNTY PUBLIC HOSPITAL DIST NO 1
Active
Other names
KLICKITAT VALLEY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ROHRER (CEO)
(509) 773-4022
Entity
Organization
Contact information
Practice address
310 S ROOSEVELT AVE, GOLDENDALE, WA 98620-9201
(509) 773-4022
(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
3416L0300X
Land Ambulance
Primary
202000768
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9254301
—
WA
Enumeration date
06/26/2008
Last updated
06/26/2008
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