Organization
KITTITAS COUNTY HOSPITAL DIST 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ADLER (TREASURER)
(509) 962-7416
Entity
Organization
Contact information
Practice address
505 POWER ST, CLE ELUM, WA 98922-1047
(509) 674-4057
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
19X01
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082063
WASHINGTON L&I
WA
01
—
590002307
RAILROAD MEDICARE
WA
05
—
9075607
—
WA
Enumeration date
09/28/2006
Last updated
02/23/2024
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