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Contact Information

KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
310 S ROOSEVELT AVE
GOLDENDALE, WA98620-9201
 Phone: 509-773-4022
 Fax: 509-773-1941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1

NPI Number 1851477061
LBN Legal business name KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Authorized official LESLIE HIEBERT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2006
Last updated 12/27/2013 - About 12 years ago
Identifiers
WA License # 202000768
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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