PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON; NPI #1760455687

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	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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

NPI Number 1760455687

LBN Legal business name PUBLIC HOSPITAL DISTRICT NO. 2, KLICKITAT COUNTY, WASHINGTON

Authorized official ROBERT KIMMES - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/10/2006

Last updated 07/18/2022 - About 4 years ago

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 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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