KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 (NPI# 1770711764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770711764 |
| Entity Type | Organization |
| Organization Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Other Organization Name | MEDICAL ARTS CENTER CLINIC |
| Practice Address |
100 E Jackson Ave Ellensburg WA 98926-3692 |
| Mailing Address |
P.o. Box 799 Ellensburg WA 98926 |
| Practice Telephone | 5099338777 |
| Practice Fax Number | 5099338741 |
| Mailing Telephone | 5099338771 |
| Mailing Fax Number | 5099338692 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | MS. BECKY LITTKE (DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 5099627424 |
| Is Organization Subpart | Y |
| Parent Organization Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
H-140 | WA | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I | 0248379 | 01 |
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH CERTIFICATION NUMBER | HAC.FS.00000140 | 01 |
| WA | 7114267 | 05 |
| Other Name | Type Code |
|---|---|
| KVH Family Medicine - Ellensburg | Doing Business As Name - Organization |
| KVH Family Medicine Ellensburg | Doing Business As Name - Organization |
| Medical Arts Center Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790910057 | Kittitas County Public Hospital Dist 1 | Specialist | 611 S Chestnut St Ste A, Ellensburg, WA 98926-4815 | 2009-05-15 |
| 1003016825 | Kittitas County Public Hospital Dist 1 | Specialist | 611 S Chestnut St Ste D, Ellensburg, WA 98926-4815 | 2007-07-19 |
| 1033139431 | Kittitas County Public Hospital Dist 1 | Medicare Defined Swing Bed Unit | 603 S. Chestnut St., Ellensburg, WA 98926 | 2006-07-20 |
| 1639197882 | Kittitas County Public Hospital Dist 1 | Hospice Care, Community Based | 309 E Mountain View Ave, Ellensburg, WA 98926-3768 | 2006-07-17 |
| 1356375307 | Kittitas County Public Hospital Dist 1 | General Acute Care Hospital | 603 S. Chestnut St, Ellensburg, WA 98926 | 2006-07-10 |
| 1437631959 | Kittitas County Public Hospital Dist 1 | Pediatrics | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-08-31 |
| 1043796956 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-07-13 |
| 1932354909 | Kittitas County Public Hospital Dist 1 | Specialist | 700 E Manitoba Ave Ste 101, Ellensburg, WA 98926-3885 | 2008-11-18 |
| 1932115391 | Kittitas County Public Hospital Dist 1 | Specialist | 700 E Manitoba Ave Ste 101, Ellensburg, WA 98926-3885 | 2006-07-31 |
| 1194747774 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 201 Alpha Way, Cle Elum, WA 98922-1045 | 2006-07-24 |
| Street Address |
100 E JACKSON AVE |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255409850 | Central Hand Therapy, PC | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 200, Ellensburg, WA 98926 | 2006-12-01 |
| 1437631959 | Kittitas County Public Hospital Dist 1 | Pediatrics | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-08-31 |
| 1043796956 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-07-13 |
| 1962938183 | Memorial Physicians, Pllc | Podiatrist | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2017-05-08 |
| 1962949701 | Memorial Physicians, Pllc | Internal Medicine | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2017-01-31 |
| 1205386505 | Canyon View Physical Therapy | Clinic/Center | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-10-11 |
| 1528514072 | Nicholas Gray | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2016-08-25 |
| 1124457387 | Canyon View Physical Therapy | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-11-07 |
| 1568802593 | Cheri D Harrell | Physical Therapist | 100 E Jackson Ave, Suite 201, Ellensburg, WA 98926-3692 | 2013-07-05 |
| 1306189741 | Memorial Physicians, Pllc | Physical Medicine & Rehabilitation | 100 E Jackson Ave, Suite 102, Ellensburg, WA 98926-3692 | 2013-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| Find all providers in zip 98926 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043796956 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2018-07-13 |
| 1639105992 | Ellensburg Pediatrics Pllc | Clinic/Center | 611 S Chestnut St, Suite E, Ellensburg, WA 98926-4815 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on KITTITAS COUNTY PUBLIC HOSPITAL DIST 1.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.