| Kvh Family Medicine | |
|
317 Sanders Way Goldendale WA 98620-9053 | |
| (509) 773-4017 | |
| (509) 773-1941 |
| Full Name | Kvh Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 317 Sanders Way, Goldendale, Washington |
| Authorized Official Name and Position | Leslie Hiebert (CEO) |
| Authorized Official Contact | 5097734022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kvh Family Medicine 310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022 | Kvh Family Medicine 317 Sanders Way Goldendale WA 98620-9053 Ph: (509) 773-4017 |
| NPI Number | 1407952369 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 0648164269 |
|---|---|
| Medicare Enrollment ID | O20040224000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407952369 | NPI | - | NPPES |
| 7113681 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Washington) | Primary |
| Provider Name | James R Ogden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801964069 PECOS PAC ID: 2860523966 Enrollment ID: I20100707000291 |
| Provider Name | Nicole Marie Campbell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154651925 PECOS PAC ID: 2860535523 Enrollment ID: I20150630003128 |
| Provider Name | Rachel Sonne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023300431 PECOS PAC ID: 7517112105 Enrollment ID: I20230831000500 |
Kvh Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 Sanders Way, Goldendale, WA 98620 Phone: 509-773-4022 | |
Serenity Health Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 S Grant St, Goldendale, WA 98620 Phone: 509-314-0373 Fax: 888-611-7881 | |
K-c Pharmacy Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Goldendale, WA 98620 Phone: 509-773-4344 | |
K-c Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Main St, Goldendale, WA 98620 Phone: 509-773-4344 Fax: 509-773-4555 | |
Klickitat Valley Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 S Roosevelt Ave, Goldendale, WA 98620 Phone: 509-773-4022 Fax: 509-773-1941 | |
Mcmc Specialties Goldendale Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 Sanders Way, Goldendale, WA 98620 Phone: 541-296-1111 |