| Organization Name: | KLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1 |
| NPI Number: | 1851477061 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE HIEBERT (CEO) |
| Mailing Address: | 310 S Roosevelt Ave Goldendale |
| State: | WA US |
| Postal Code: | 986209201 |
| Phone Number: | 5097734022 |
| Fax Number: | 5097731941 |
| NPI Enumeration Date: | 10/31/2006 |
| NPI Last Update Date: | 12/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 202000768 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |