KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 (NPI# 1790910057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790910057 |
| Entity Type | Organization |
| Organization Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 |
| Other Organization Name | KVH GENERAL SURGERY |
| Practice Address |
611 S Chestnut St Ste A Ellensburg WA 98926-4815 |
| Mailing Address |
P.o. Box 799 Ellensburg WA 98926 |
| Practice Telephone | 5099627390 |
| Mailing Telephone | 5099627390 |
| Mailing Fax Number | 5099256948 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | BECKY L LITTKE (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 5099627424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 000036 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE PTAN | G000319179 | 01 |
| Other Name | Type Code |
|---|---|
| KVH General Surgery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 603 S Chestnut St, Ellensburg, WA 989263875 | 5099338619 | 5099627351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1770711764 | Kittitas County Public Hospital Dist 1 | Clinic/Center | 100 E Jackson Ave, Ellensburg, WA 98926-3692 | 2009-06-29 |
| 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 |
611 S CHESTNUT ST STE A |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926-4815 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851559652 | Randal D. Gillen | Specialist | 507 N Pine St, Suite E, Ellensburg, WA 98926-5024 | 2008-05-28 |
| 1619151164 | Daniel L Hiersche, Pllc | Specialist | 700 E Manitoba Ave Ste 106, Ellensburg, WA 98926-3885 | 2007-12-19 |
| 1912187378 | Carla Johnson | Specialist | 1206 N Dolarway Rd, Suite # 211, Ellensburg, WA 98926-8392 | 2007-11-13 |
| 1437344504 | Marlene J Travis | Specialist | 305 N Maple St, Ellensburg, WA 98926-3574 | 2007-09-11 |
| 1639363179 | Paula Brinkerhoff | Specialist | 1501 Killmore Rd, Ellensburg, WA 98926-7844 | 2007-08-28 |
| 1003016825 | Kittitas County Public Hospital Dist 1 | Specialist | 611 S Chestnut St Ste D, Ellensburg, WA 98926-4815 | 2007-07-19 |
| 1164640256 | Mary Call | Specialist | 3420 Reecer Creek Rd, Ellensburg, WA 98926-9430 | 2007-04-23 |
| 1942350327 | Tina Tarbert | Specialist | 1011 N Alder St Ste 4, Ellensburg, WA 98926-2699 | 2007-01-10 |
| 1841277845 | Kenneth A Harris | Specialist | 611 S Chestnut Street, Suite A, Ellensburg, WA 98926 | 2005-12-30 |
| 1831194265 | The Valley Clinic LLP | Specialist | 716 E Manitoba Ave, Ellensburg, WA 98926-3842 | 2005-06-13 |
| Find all providers in ELLENSBURG | ||||
| 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.