Organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Active
Other names
Kittitas Valley Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY LITTKE (DIRECTOR REVENUE CYCLE)
(509) 962-7424
Entity
Organization
Contact information
Practice address
603 S. CHESTNUT ST., ELLENSBURG, WA 98926
(509) 962-7424
(509) 933-8692
Mailing address
P.O. BOX 799, ELLENSBURG, WA 98926
(509) 962-9841
(509) 925-8486
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
WA
275N00000X
Medicare Defined Swing Bed Hospital Unit
H-140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011427
ST OF WASH LABOR & INDUST
WA
05
—
3342300
—
WA
01
—
356
BLUE CROSS OF WASH
WA
01
—
835
GROUP HEALTH COOPERATIVE
WA
Enumeration date
07/20/2006
Last updated
08/20/2020
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