Organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Active
Organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Active
Other names
KVH Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GOTT (DIRECTOR REVENUE CYCLE OPERATIONS)
(509) 962-7424
Entity
Organization
Contact information
Practice address
603 S CHESTNUT ST, ELLENSBURG, WA 98926-3875
(509) 925-8445
(509) 925-8464
Mailing address
PO BOX 799, ELLENSBURG, WA 98926-1921
(509) 933-8771
(509) 962-7604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H 140
WA
261QR1300X
Rural Health Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202873
LABOR & INDUST
WA
01
—
152
BLUE CROSS
WA
05
—
7120595
—
WA
Enumeration date
07/31/2006
Last updated
07/29/2026
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