KLICKITAT VALLEY HOSPITAL
NPI 1093879975
Medicare Defined Swing Bed Unit in Goldendale, WA
About Klickitat Valley Hospital NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KLICKITAT VALLEY HOSPITAL (NPI 1093879975) is a healthcare organization registered as a medicare defined swing bed unit in Goldendale, Washington and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Sharon Cox, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Klickitat Valley Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Klickitat Valley Hospital, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
Yakima, WA 98902
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 50D0681568
Klickitat Valley Health · Goldendale, WAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Klickitat County Public Hospital District No1's NPI number?
The NPI number for Klickitat County Public Hospital District No1 is 1093879975. It was assigned to this organization in the NPPES registry on December 21, 2006. The provider is doing business as Klickitat Valley Hospital.
Where is Klickitat County Public Hospital District No1 located?
Klickitat County Public Hospital District No1 is located at 310 S Roosevelt Ave, Goldendale, WA 98620. The listed phone number is (509) 773-4022.
What is Klickitat County Public Hospital District No1's specialty?
The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.
Is Klickitat County Public Hospital District No1 enrolled in Medicare?
Yes. Klickitat County Public Hospital District No1 is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Klickitat County Public Hospital District No1?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Klickitat County Public Hospital District No1, in Certified Registered Nurse Anesthetist (CRNA), Emergency Medicine, Family Practice, Pain Management and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Klickitat County Public Hospital District No1 hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 50D0681568) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Klickitat County Public Hospital District No1 accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Klickitat County Public Hospital District No1 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Klickitat County Public Hospital District No1 was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Klickitat Valley Hospital · NPI 1093879975
Medicare Defined Swing Bed Unit organization in Goldendale, Washington. Organization record, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1093879975 (Entity type: Organization)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Medicare Defined Swing Bed Unit · taxonomy 275N00000X
- **Legal business name:** Klickitat County Public Hospital District No1
- **Organization subpart:** No
- **Authorized official:** Sharon Cox, CEO
## Practice location
- **Address:** 310 S ROOSEVELT AVE, Goldendale, WA 98620-9201
- **Phone:** (509) 773-4022 · **Fax:** (509) 773-1941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (2), Emergency Medicine (2), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093879975) · Data from the CMS NPPES public registry.