Organization
KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
Active
Other names
Kittitas Valley Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NURICK (CHIEF EXECUTIVE OFFICER)
(509) 962-7301
Entity
Organization
Contact information
Practice address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 962-9841
(509) 925-8485
Mailing address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 962-9841
(509) 925-8485
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
501333
MEDICARE CCN#
—
Enumeration date
02/05/2014
Last updated
02/05/2014
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