Organization Active NPI

Kittitas County Public Hospital Dist 1

Doing business as KVH Orthopedics

  • Specialist
  • Ellensburg, WA
National Provider Identifier
1003016825
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00047672 Issued in WA
Legal business name
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Doing business as
KVH Orthopedics
Practice address
603 S Chestnut St
Ellensburg, WA 98926-3875
Phone
(509) 933-8700
NPI assigned
Jul 19, 2007
Last updated
Jul 29, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jean Roberson
Title
Director Cbo
Phone
(509) 933-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00047672 WA Primary

Addresses

Primary practice location

603 S Chestnut St
Ellensburg, WA 98926-3875

Mailing address

P.O. Box 799
Ellensburg, WA 98926
Phone (509) 933-8700

Other practice location 1

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 933-8700

Other practice location 2

201 Alpha Way
Cle Elum, WA 98922-1045
Phone (509) 674-5331

Other names 1

  • KVH Orthopedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000046 WA Part B Supplier - Clinic/Group Practice 0547179608 Receives reassigned benefits from 176 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ellensburg, WA; Cle Elum, WA

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Kittitas Valley Hosp

Locations

611 S Chestnut St
Ste D
Ellensburg, WA 98926
Phone (509) 933-7575

Interoperability endpoints

  • Direct secure messaging: acheung@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: dmahre@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: jrepsher@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: rhosey@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: tmirich@kittitasvalleyhealthcare.cernerdirect.com

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1003016825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 799",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-933-8700",
            "fax_number": "509-933-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S CHESTNUT ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263875",
            "telephone_number": "509-933-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 S Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263875",
            "country_code": "US",
            "telephone_number": "509-933-8700",
            "fax_number": "509-933-8705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Alpha Way",
            "address_purpose": "LOCATION",
            "city": "Cle Elum",
            "state": "WA",
            "postal_code": "989221045",
            "country_code": "US",
            "telephone_number": "509-674-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KITTITAS COUNTY PUBLIC HOSPITAL DIST 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KITTITAS COUNTY PUBLIC HOSPITAL DIST 1",
        "enumeration_date": "2007-07-19",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR CBO",
        "authorized_official_telephone_number": "509-933-8771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00047672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KVH Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.