NPIMap

Organization Active NPI

Kittitas County Public Hospital Dist 1

Doing business as Kittitas Valley Community Hospital

  • Critical Access Hospital
  • Ellensburg, WA
National Provider Identifier
1356375307
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-140 Issued in WA
Legal business name
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Doing business as
Kittitas Valley Community Hospital
Kittitas Valley Healthcare
Practice address
603 S. Chestnut St
Ellensburg, WA 98926
Phone
(509) 962-9841
Fax
(509) 962-7351
NPI assigned
Jul 10, 2006
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Lisa Gott
Title
Revenue Cycle Director
Phone
(509) 962-7424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H-140 WA Primary
Critical Access Hospital 282NC0060X WA

Addresses

Primary practice location

603 S. Chestnut St
Ellensburg, WA 98926

Mailing address

PO Box 799
Ellensburg, WA 98926-1921
Phone (509) 962-9841

Other practice location 1

702 E Mountain View Ave Ste 2
Ellensburg, WA 98926-3862
Phone (509) 933-8830

Other names 2

  • Kittitas Valley Community Hospital Doing business as
  • Kittitas Valley Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

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
Practice locations: Ellensburg, WA; Cle Elum, WA
O20060502000764 WA Part A Provider - Critical Access Hospital 0547179608 Receives reassigned benefits from 43 practitioners
Practice locations: Cle Elum, WA; Ellensburg, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356375307. Details of each certification follow.

Hospital certification: CCN 501333

Legal name
KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Doing business as
KITTITAS VALLEY HEALTHCARE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Jun 27, 2025
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
603 S Chestnut St
Ellensburg, WA 98926-3875
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Kittitas Valley Community HospitalCCN 501333 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

702 E Mountain View Ave
#2
Ellensburg, WA 98926
Phone (509) 933-8830

Interoperability endpoints

  • Direct secure messaging: achen@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: apeet@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: bghermay@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: cgavin@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: dfrick@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: fcruz@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: jajudd@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: jhibbs@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: jsimons@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: kittitasvh@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: klarson@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: klindsey@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: lmusick@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: mcyoung@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: mpokrifchak@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: mromanko@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: nbasmeh@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: perley@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: pkbrar@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: rramm@kittitasvalleyhealthcare.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Gott Individual W-2 Managing EmployeeDirector Revenue Cycle Operations Jan 1, 2024
Kittitas County Public Hospital Dist 1 Organization, Ellensburg, WA Operational/Managerial Control Jan 1, 1966 100%
Rhonda Holden Individual Corporate DirectorChief Nursing Officer Dec 9, 2009

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kittitas Valley HealthcareEllensburg, WA, CCN 50Z333 Hospital Operational/Managerial Control (100%) Jan 1, 2004
Kittitas Valley Healthcare Home HealthEllensburg, WA, CCN 507097 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 1964
Jan 1, 1964
Kittitas Valley Comm Hospital HospiceEllensburg, WA, CCN 501529 Hospice 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jul 25, 2008
Oct 3, 2011
Kittitas Valley Healthcare Family Medicine Cle ElumCle Elum, WA, CCN 508541 Rural health clinic Operational/Managerial Control (100%) Jul 1, 2005
Kittitas Valley Healthcare Internal MedicineEllensburg, WA, CCN 508545 Rural health clinic Operational/Managerial Control (100%) Jul 26, 2007
Medical Arts Center ClinicEllensburg, WA, CCN 508553 Rural health clinic Operational/Managerial Control (100%) Nov 1, 1966

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 202

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 202

Affiliated clinicians 314

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 314

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1356375307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989261921",
            "telephone_number": "509-962-9841",
            "fax_number": "509-925-8486"
        },
        {
            "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": "98926",
            "telephone_number": "509-962-9841",
            "fax_number": "509-962-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 E Mountain View Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263862",
            "country_code": "US",
            "telephone_number": "509-933-8830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KITTITAS COUNTY PUBLIC HOSPITAL DIST 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "GOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "509-962-7424"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H-140",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kittitas Valley Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kittitas Valley Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kittitas Valley Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.