Organization
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Active
Other names
KLICKITAT VALLEY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON COX (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
251E00000X
Home Health Agency
Primary
202000768
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020116
—
WA
Enumeration date
10/31/2006
Last updated
10/08/2008
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