NPIMap

Organization Active NPI

Klickitat County

  • Public Health or Welfare Agency
  • Goldendale, WA
National Provider Identifier
1033310065
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KLICKITAT COUNTY
Practice address
115 W Court St
Room# 103
Goldendale, WA 98620-8905
Phone
(503) 773-4565
Fax
(509) 773-5991
NPI assigned
May 29, 2007
Organization subpart
Yes
Parent organization
KLICKITAT COUNTY HEALTH DEPARTMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erinn Quinn, RN
Title
Director - Public Health
Phone
(509) 773-2366

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X
Public Health or Welfare Agency 251K00000X Primary
Community Health Clinic/Center 261QC1500X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

115 W Court St
Room# 103
Goldendale, WA 98620-8905

Mailing address

115 W Court St
Ms-CH Box# 103
Goldendale, WA 98620-8905
Phone (509) 773-4565

Other practice location 1

501 NE Washington St
White Salmon, WA 98672-1826
Phone (509) 493-1558

Other identifiers 1

IdentifierTypeStateIssuer
1000956MedicaidWA

Other names 1

  • Vaccines Other name

National Provider Directory

National Provider Directory
Tax ID family
Klickitat County Behavioral Health6 organizations share this tax ID, including this one
Part of
Klickitat County Behavioral Health

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1033310065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W COURT ST",
            "address_2": "MS-CH BOX# 103",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986208905",
            "telephone_number": "509-773-4565",
            "fax_number": "509-773-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W COURT ST",
            "address_2": "ROOM# 103",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986208905",
            "telephone_number": "503-773-4565",
            "fax_number": "509-773-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 NE WASHINGTON ST",
            "address_purpose": "LOCATION",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721826",
            "country_code": "US",
            "telephone_number": "509-493-1558",
            "fax_number": "509-493-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KLICKITAT COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLICKITAT COUNTY HEALTH DEPARTMENT",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "ERINN",
        "authorized_official_title_or_position": "DIRECTOR - PUBLIC HEALTH",
        "authorized_official_telephone_number": "509-773-2366",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000956",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaccines",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Vaccines",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Goldendale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.