NPIMap

Organization Active NPI

Klickitat Co Public Hospital Dist #2

Doing business as Skylinc Clinic

  • Critical Access Hospital
  • White Salmon, WA
National Provider Identifier
1528164720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-096 Issued in WA
Legal business name
KLICKITAT CO PUBLIC HOSPITAL DIST #2
Doing business as
Skylinc Clinic
Practice address
211 Skyline Drive
White Salmon, WA 98672-0099
Phone
(509) 493-1101
Fax
(509) 493-2838
NPI assigned
Sep 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J Madden
Title
Ceo
Phone
(509) 493-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H-096 WA Primary

Addresses

Primary practice location

211 Skyline Drive
White Salmon, WA 98672-0099

Mailing address

211 Skyline Drive
White Salmon, WA 98672-0099
Phone (509) 493-1101

Other identifiers 1

IdentifierTypeStateIssuer
7105497MedicaidWA

Other names 1

  • SKYLINC CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Skyline Hospital4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528164720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SKYLINE DRIVE",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720099",
            "telephone_number": "509-493-1101",
            "fax_number": "509-493-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SKYLINE DRIVE",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720099",
            "telephone_number": "509-493-1101",
            "fax_number": "509-493-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLICKITAT CO PUBLIC HOSPITAL DIST #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-493-1101"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H-096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7105497",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKYLINC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Salmon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.