Organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Active
Parent organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Organization subpart
Yes
Provider details
NPI number
Legal business name
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Authorized official
MRS. AGGIE SPRAGUE (MANAGER TRANSITIONAL CARE HOME HEAL)
(509) 962-7438
Entity
Organization
Contact information
Practice address
309 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-3768
(509) 925-8499
(509) 925-8450
Mailing address
P.O. BOX 799, ELLENSBURG, WA 98926
(509) 962-7438
(509) 925-8450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IS-320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009490004
GROUP HEALTH COOPERATIVE
WA
01
—
152
BLUE CROSS OF WASHINGTON
WA
01
—
44265
ST OF WA LABOT & INDUSTRI
WA
05
—
9036823
—
WA
Enumeration date
07/17/2006
Last updated
01/31/2018
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