| Klickitat County Public Hospital District No 1 | |
|
317 Sanders Way Goldendale WA 98620-9053 | |
| (509) 773-4022 | |
| Not Available |
| Full Name | Klickitat County Public Hospital District No 1 |
|---|---|
| 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 |
|---|---|
| Klickitat County Public Hospital District No 1 310 S Roosevelt Ave Goldendale WA 98620-9201 Ph: (509) 773-4022 | Klickitat County Public Hospital District No 1 317 Sanders Way Goldendale WA 98620-9053 Ph: (509) 773-4022 |
| NPI Number | 1467530915 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/20/2015 |
| Medicare PECOS PAC ID | 0648164269 |
|---|---|
| Medicare Enrollment ID | O20040212000690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467530915 | NPI | - | NPPES |
| 7076862 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 202000768 (Washington) | Primary |
| Provider Name | William Brueggemann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285716217 PECOS PAC ID: 6709862725 Enrollment ID: I20041110001100 |
| Provider Name | Shona E Lowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598710840 PECOS PAC ID: 3779523162 Enrollment ID: I20050504001274 |
| Provider Name | Mark W Livingston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679656615 PECOS PAC ID: 4688605421 Enrollment ID: I20050822001211 |
| Provider Name | Kimberly A Carr Yeates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114903937 PECOS PAC ID: 2961425830 Enrollment ID: I20060105000707 |
| Provider Name | Peter G Andress |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508819855 PECOS PAC ID: 5092727172 Enrollment ID: I20060609000061 |
| Provider Name | Troy R Witherrite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073550323 PECOS PAC ID: 9032113394 Enrollment ID: I20060830000020 |
| Provider Name | Eric T Riley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265441851 PECOS PAC ID: 0345246864 Enrollment ID: I20061005000596 |
| Provider Name | Kerry C Biermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437299088 PECOS PAC ID: 8224922604 Enrollment ID: I20090715000130 |
| Provider Name | Todd J Baumeister |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1063403897 PECOS PAC ID: 4284770744 Enrollment ID: I20091014000212 |
| Provider Name | Kevin S Wei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962418574 PECOS PAC ID: 0547285587 Enrollment ID: I20091113000397 |
| Provider Name | Rebecca Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366593311 PECOS PAC ID: 2365576485 Enrollment ID: I20100811000642 |
| Provider Name | Edward H Piepmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467421156 PECOS PAC ID: 4385640820 Enrollment ID: I20120725000716 |
| Provider Name | Rachel V Hampton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588980429 PECOS PAC ID: 1153564745 Enrollment ID: I20130829000622 |
| Provider Name | Samuel M. Donohoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073806865 PECOS PAC ID: 1759521727 Enrollment ID: I20140827000816 |
| Provider Name | James A Morrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043360480 PECOS PAC ID: 7517871874 Enrollment ID: I20141015001678 |
| Provider Name | Russell M Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669440772 PECOS PAC ID: 7416273792 Enrollment ID: I20150304000307 |
| Provider Name | Teresa Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699843920 PECOS PAC ID: 9335294743 Enrollment ID: I20150520002338 |
| Provider Name | Jennifer L First |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366836728 PECOS PAC ID: 6901127968 Enrollment ID: I20150603001651 |
| 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 | Krystal L Plotts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386955441 PECOS PAC ID: 1759528656 Enrollment ID: I20161229000694 |
| Provider Name | Paul M Guernsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235543836 PECOS PAC ID: 2365768579 Enrollment ID: I20170724001926 |
| Provider Name | Mary Elizabeth Kazee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922412840 PECOS PAC ID: 8527332600 Enrollment ID: I20191009001100 |
| Provider Name | Neal R Abarbanell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659367142 PECOS PAC ID: 1658364005 Enrollment ID: I20200127001952 |
| Provider Name | Jeffrey Shigeru Tanita |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922040443 PECOS PAC ID: 1850314469 Enrollment ID: I20200406000356 |
| Provider Name | Barbara Jean Macgillivray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679108609 PECOS PAC ID: 8820428600 Enrollment ID: I20200417002548 |
| Provider Name | James Wickerath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780610915 PECOS PAC ID: 5991928962 Enrollment ID: I20200420000560 |
| Provider Name | Anne Marie Mclellan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548590813 PECOS PAC ID: 6800066291 Enrollment ID: I20200521000324 |
| Provider Name | Gerald Yutzy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821049420 PECOS PAC ID: 3779479332 Enrollment ID: I20201201002228 |
| Provider Name | Weichin Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841497260 PECOS PAC ID: 6002053725 Enrollment ID: I20210910002245 |
| Provider Name | Anusha R Iyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275065476 PECOS PAC ID: 5496094328 Enrollment ID: I20220119001937 |
| Provider Name | Johannah Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790456895 PECOS PAC ID: 7618375080 Enrollment ID: I20220608000533 |
| Provider Name | Dallas D Regan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053323170 PECOS PAC ID: 0648276055 Enrollment ID: I20221028000455 |
| Provider Name | Rachel Sonne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023300431 PECOS PAC ID: 7517112105 Enrollment ID: I20230831000500 |
| Provider Name | Akinyinka Abidem Ajelabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20231109003141 |
| Provider Name | Alyson L Redman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114120680 PECOS PAC ID: 9335232487 Enrollment ID: I20231113001686 |
| Provider Name | Zachary S Slater |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063702769 PECOS PAC ID: 5193902153 Enrollment ID: I20240103004392 |
| Provider Name | Jennifer L Bomberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871855221 PECOS PAC ID: 7214371210 Enrollment ID: I20240218000141 |
| Provider Name | John J Nebeker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356088702 PECOS PAC ID: 3274970751 Enrollment ID: I20240319003753 |
| Provider Name | Marisa Wickerath |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962088641 PECOS PAC ID: 7810391703 Enrollment ID: I20240718001571 |
| Provider Name | Kevin Knopp |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114193489 PECOS PAC ID: 2860564978 Enrollment ID: I20240822001478 |
| Provider Name | Kambra Rochelle Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437627882 PECOS PAC ID: 6800323437 Enrollment ID: I20241220002153 |
| Provider Name | Trey Rigert |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275516106 PECOS PAC ID: 8123003050 Enrollment ID: I20250211002463 |
| Provider Name | Aaron R Nott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255907754 PECOS PAC ID: 3870998438 Enrollment ID: I20250415003148 |
Klickitat County Public Hospital District No 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 317 Sanders Way, Goldendale, WA 98620 Phone: 509-773-4017 Fax: 509-773-1941 | |
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 County Public Hospital Dist No 1 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 | |
Mid-columbia Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 Sanders Way, Goldendale, WA 98620 Phone: 541-296-1111 |