Organization
KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT
Active
Other names
Kittitas Valley Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALLGOOD (CHIEF FINANCIAL OFFICER)
(509) 962-7312
Entity
Organization
Contact information
Practice address
603 S CHESTNUT ST, ELLENSBURG, WA 98926
(509) 962-9841
(509) 962-7351
Mailing address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 962-9841
(509) 962-7351
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H-140
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007775
ST OF WASH LABOR & INDUST
WA
01
—
152
BLUE CROSS-ER PHY/GNP
WA
05
—
7994304
—
WA
01
—
835
GROUP HEALTH COOPERATIVE
WA
05
—
9625476
—
WA
Enumeration date
07/13/2006
Last updated
07/10/2018
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