Organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Active
Parent organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Other names
Kittitas Valley Healthcare Hospice
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) 962-7438
(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
251G00000X
Community Based Hospice Care Agency
Primary
IS-320
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152
BLUE CROSS-HOSPICE
WA
05
—
3990314
—
WA
01
—
835
GROPU HLTH COOP-HOSPICE
WA
01
—
91757683
UNIFORM MED PLAN-HOSPICE
WA
Enumeration date
07/17/2006
Last updated
07/15/2024
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