Klickitat County Public Hospital District No 1

A Medicare group practice based in Goldendale, WA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0648164269), with 167 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648164269The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Hospice, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
5
Group size
46 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 1 place

Enrollment records 5

Enrollment IDStateProvider typeNPI
O20061104000262 WA Part A Provider - Critical Access Hospital 1386689487
O20040212000690 WA Part B Supplier - Clinic/Group Practice 1467530915
O20040224000581 WA Part A Provider - Rural Health Clinic 1407952369
O20070402000635 WA Part A Provider - Critical Access Hospital 1093879975
O20090223000482 WA Part A Provider - Hospice 1851477061

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 167

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (166) or whom Care Compare lists as members (46).

Sources for this page