# KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT \#1

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851762090
- **Authorized official:** HANNA DOOLIN (DIRECTOR OF BILLING)
- **Authorized official phone:** (509) 933-8771

## Contact information

- **Practice address:** 415 E MOUNTAIN VIEW AVE, STE 301, ELLENSBURG, WA 98926-5802
- **Practice address phone:** (509) 925-2460
- **Mailing address:** 415 E MOUNTAIN VIEW AVE, STE 301, ELLENSBURG, WA 98926-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2015
- **Last updated:** 10/14/2015