National Provider Identifier Database

KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Hospice Care, Community Based


Contact Information

KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
309 E MOUNTAIN VIEW AVE
ELLENSBURG, WA98926-3768
Phone: 509-962-7438
Fax: 509-925-8450
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

NPI Number 1639197882
Legal business name
LBN
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Authorized official AGGIE SPRAGUE - (MANAGER TRANSITIONAL CARE HOME HEAL)
Entity Organization
Organization subpart Yes
Enumeration date 07/17/2006
Last updated 07/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: IS-320
  • WA Medicaid: 3990314
  • WA Other: 152 BLUE CROSS-HOSPICE
  • WA Other: 835 GROPU HLTH COOP-HOSPICE
  • WA Other: 91757683 UNIFORM MED PLAN-HOSPICE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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