Organization
ELKHORN VALLEY CORPORATION
Active
Other names
Family Health Care of Ellensburg
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON L HANEY M.D. (PRESIDENT)
(509) 962-6348
Entity
Organization
Contact information
Practice address
107 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-5312
(509) 962-6348
(509) 962-2003
Mailing address
107 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-5312
(509) 962-6348
(509) 962-2003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33120
LABOR & INDUSTRIES
WA
01
—
4582
GROUP HEALTH
WA
05
—
7047830
—
WA
Enumeration date
08/16/2006
Last updated
08/22/2020
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