Organization Name: | PUBLIC HOSPITAL DISTRICT NO 2, KLICKITAT COUNTY, WASHINGTON |
NPI Number: | 1689779324 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT KIMMES (CEO) |
Mailing Address: | 211 Skyline Drive White Salmon |
State: | WA US |
Postal Code: | 98672 |
Phone Number: | 5094931101 |
Fax Number: | 5094934607 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | H-096 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |