Kittitas Valley Urgent Care PLLC

A Medicare group practice based in Ellensburg, WA: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5092093542), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5092093542The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
Enrolled in
WA
Enrollments
4
Group size
24 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20161103001114 WA Part B Supplier - Clinic/Group Practice 1578926770
O20200406002272 WA DME Supplier - Multi-Specialty - Physician 1215567300
O20230508000684 WA DME Supplier - Multi-Specialty - Physician 1740906551
O20240904003721 WA DME Supplier - Multi-Specialty - Physician 1578926770

NPIs in this group 3

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 44

Clinicians who reassign their Medicare benefits to this group (43) or whom Care Compare lists as members (24).

Sources for this page