KVH FAMILY MEDICINE
NPI 1407952369
Clinic/Center - Rural Health in Goldendale, WA

Q: What is Klickitat County Public Hospital District No 1's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since September 16, 2006

317 SANDERS WAY, GOLDENDALE, WA 98620(509) 773-4017(509) 773-1941 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kvh Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KVH FAMILY MEDICINE (NPI 1407952369) is a healthcare organization registered as a rural health in Goldendale, Washington and active in the NPI registry since September 2006. The organization lists Leslie Hiebert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407952369

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameKLICKITAT COUNTY PUBLIC HOSPITAL DISTRICT NO 1

Location Address317 SANDERS WAYGoldendale, WA 98620-9053

Mailing Address310 S Roosevelt AveGoldendale, WA 98620-9201 · (509) 773-4022 · Fax (509) 773-1941

Phone(509) 773-4017

Fax(509) 773-1941

Organization SubpartYes

Authorized OfficialLeslie HiebertCeo · (509) 773-4022

Enumeration DateSeptember 16, 2006

Last NPPES UpdateDecember 20, 2021

NPPES CertifiedDecember 20, 2021

✔ NPI 1407952369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

317 SANDERS WAY, Goldendale, WA 98620

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Other Names 1

Doing Business AsKvh Family Medicine

Other Identifiers 1

Medicaid7113681WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kvh Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateWashingtonEnrollment IDO20040224000581Part A · Rural Health ClinicDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNETTE DOROTHY BAARS PA-C

Physician Assistant (Medical)