Organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Active
Organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Active
Parent organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Other names
KVH Family Medicine Ellensburg, Medical Arts Center Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Authorized official
MS. BECKY LITTKE (DIRECTOR REVENUE CYCLE)
(509) 962-7424
Entity
Organization
Contact information
Practice address
100 E JACKSON AVE, ELLENSBURG, WA 98926-3692
(509) 933-8777
(509) 933-8741
Mailing address
P.O. BOX 799, ELLENSBURG, WA 98926
(509) 933-8771
(509) 933-8692
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
H-140
WA
261QR1300X
Rural Health Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0248379
L&I
WA
05
—
7114267
—
WA
01
—
HAC.FS.00000140
WASHINGTON STATE DEPARTMENT OF HEALTH CERTIFICATION NUMBER
WA
Enumeration date
06/29/2009
Last updated
05/28/2020
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