Public Hospital District 1 of Klickitat Co
Organization Active NPI Community/Retail Pharmacy · Goldendale, WA
NPI 1558828467 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1558828467
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- PUBLIC HOSPITAL DISTRICT 1 OF KLICKITAT CO
- Practice address
- 310 S Roosevelt
Goldendale, WA 98620 - Phone
- (509) 773-4022
- Fax
- (509) 773-1036
- NPI assigned
- Feb 27, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- PUBLIC HOSPITAL DISTRICT 1 OF KLICKITAT CO
Authorized official
- Name
- Leslie Hiebert
- Title
- Ceo
- Phone
- (509) 773-1002
Corporate family (same tax ID) 6
Practitioners 1
National Provider Directory
- Tax ID family
- Family Pracitice Clinic
- Part of
- Family Pracitice Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
310 S Roosevelt
Goldendale, WA 98620
Mailing address
310 S Roosevelt
Goldendale, WA 98620
Phone (509) 773-4022
Other names
- Klickitat Valley Health
Other providers in Goldendale, WA
- James Rexford Ogden
- Jacinto Ricardo Orozco
- Dennis Y Pavlenko
- Laurel Louise Pritchard
- Private Healthcare Facilities
- Juan Ramirez
- Daryen Isabelle Randall
- David L Reimche-Vu
- Sandra Lee Roberts
- Theresa Raedel Rundell
All providers in Goldendale, WA · Community/Retail Pharmacy in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.