| Klickitat Valley Health | |
|
310 S Roosevelt Ave Goldendale WA 98620-9201 | |
| (509) 773-4022 | |
| (509) 773-1941 |
| Full Name | Klickitat Valley Health |
|---|---|
| Speciality | Clinic/center |
| Location | 310 S Roosevelt Ave, Goldendale, Washington |
| Authorized Official Name and Position | John Rohrer (CEO) |
| Authorized Official Contact | 5097734022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Klickitat Valley Health 310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022 | Klickitat Valley Health 310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022 |
| NPI Number | 1669634747 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669634747 | NPI | - | NPPES |
| 7591134 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 202000768 (Washington) | Primary |
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