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Organization

KITTITAS COUNTY PUBLIC HOSP DIST 1

Active
Parent organization
KITTITAS COUNTY PUBLIC HOSP DIST 1
Other names
KVH Urology
Organization subpart
Yes

Provider details

NPI number
Legal business name
KITTITAS COUNTY PUBLIC HOSP DIST 1
Authorized official
LISA MICHELLE GOTT (DIRECTOR REVENUE CYCLE OPERATIONS)
(509) 962-7424
Entity
Organization

Contact information

Practice address
611 S CHESTNUT ST STE C, ELLENSBURG, WA 98926-4815
(509) 962-9841
(509) 825-8472
Mailing address
PO BOX 799, ELLENSBURG, WA 98926-1921
(509) 962-9841
(509) 925-8472

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
11/10/2025
Last updated
11/10/2025
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