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Contact Information

KITTITAS COUNTY PUBLIC HEALTH
507 N NANUM ST
SUITE 102
ELLENSBURG, WA98926
 Phone: 509-962-7515
 Fax: 509-962-7581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for KITTITAS COUNTY PUBLIC HEALTH

NPI Number 1508924275
LBN Legal business name KITTITAS COUNTY PUBLIC HEALTH
Authorized official MARK LARSON - (HEALTH OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 06/20/2008 - About 18 years ago
Identifiers
WA Medicaid 7305204
WA Medicaid 7401169
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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