National Provider Identifier Database

PUBLIC HOSPITAL DISTRICT NO 2 KLICKITAT COUNTY WASHINGTON
Critical Access

Contact Information

PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON
211 SKYLINE DRIVE
WHITE SALMON, WA  98672-0099
Phone: 509-493-1101
Fax: 509-493-2838
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON

NPI Number 1760455687
Legal business name
LBN		 PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON
Authorized official ROBERT KIMMES - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/10/2006
Last updated 07/18/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: H-096
  • OR Medicaid: 184713
  • WA Medicaid: 3300209
  • WA Medicaid: 3620705
  • WA Medicaid: 8117327
  • WA Medicaid: 9162306
  • WA Other: 9060SK REGENCE AMB #
  • WA Other: SK0315 REGENCE IP #
  • WA Other: SK6515 REGENCE OP #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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