KITTITAS COUNTY PUBLIC HOSPITAL DIST 1; NPI #1356375307

Contact Information

KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

603 S. CHESTNUT ST
ELLENSBURG, WA 98926

Phone: 509-962-9841
Fax: 509-962-7351
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Critical Access	282NC0060X	A0[7]	Critical Access Hospital

Indicates primary specialty

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NPI Profile & details for KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

NPI # 1356375307

LBN Legal business name KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

Authorized official LISA GOTT - (REVENUE CYCLE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/10/2006

Last updated 05/06/2026 - About a month ago

Identifiers

WA	License #	H-140
WA	Medicaid	3342300
WA	Medicaid	3619301
WA	Medicaid	6132401
WA	Medicaid	7401847
WA	Medicaid	8259954
WA	Medicaid	9029158
WA	Medicaid	9311606
WA	Other	152	BLUE CROSS OF WASHINGTON
WA	Other	835	GROUP HEALTH COOPERATIVE
WA	Other	0011427	ST OF WASH LABOR & INDUST
WA	Other	0011427	ST WA LABOR & IND.

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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KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

Contact Information

Specialty

Critical Access

NPI Profile & details for KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

Reviews for KITTITAS COUNTY PUBLIC HOSPITAL DIST 1