KLICKITAT VALLEY HEALTH – NPI #1386689487
General Acute Care Hospital

KLICKITAT VALLEY HEALTH is a general acute care hospital located in GOLDENDALE, WA. NPPES has assigned the NPI number 1386689487 to KLICKITAT VALLEY HEALTH on June 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KLICKITAT VALLEY HEALTH” is a dba name, the actual legal business name for this organization is KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was previously updated about 4 years ago on Dec 20, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KLICKITAT VALLEY HEALTH below.

NPI Profile for
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1

NPI Number
1386689487
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Doing Business As (dba): KLICKITAT VALLEY HEALTH
Primary location
310 S ROOSEVELT AVE
GOLDENDALE, WA 98620-9201
Phone: (509) 773-4022 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LESLIE HIEBERT
CEO
Phone: (509) 773-4022
Updated
Certification Date
Dec 20, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KLICKITAT VALLEY HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA3304904
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 WA 202000768
261QX0100X
- Clinic/Center / Occupational Medicine
261QP2000X
- Clinic/Center / Physical Therapy		 WA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.