Kittitas County Public Hospital Dist 1
Organization Active NPI Critical Access Hospital · Ellensburg, WA
NPI 1356375307 · NPPES record last updated May 6, 2026
Key facts
- NPI
- 1356375307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- H-140 (WA)
- Legal business name
- KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
- Practice address
- 603 S. Chestnut St
Ellensburg, WA 98926 - Phone
- (509) 962-9841
- Fax
- (509) 962-7351
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Lisa Gott
- Title
- Revenue Cycle Director
- Phone
- (509) 962-7424
Owners & managing parties with NPI records 6
Owned or controlled facilities with NPI records 6
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 6
Related certifications (CCN) 4
Facilities with the same owner 6
Practitioners 204
-
Gavin A. Bakker, ARNP
-
Katie Bates, ARNP
-
Ryan Joseph Beachy, PA-C
-
Hope Michelle Pike Beam, APRN
-
John Mark Beard, MD
-
Jennifer Bryan, DO
-
Jay K Callarman, D.P.M.
-
Stuart B Cardon, DPM
-
Anna Collins, ARNP
-
Natalie Lynn Curtis, MSN, APRN, FNP-BC
-
Todd L Davidson, MD
-
Cierra Delay, DO
-
Jose Angel Diaz, PA C
-
Jamin Feng, MD
-
David Philip Frick, D.O.
-
Mara Lynn Fusfield, ARNP
-
Berhan Ghermay, M.D.
-
Lacey Rainne Haggerty, ARNP, CNM
-
Hanafy M Hanafy, M.D.
-
Tasha L. Hansen, MSW, LICSW
Affiliated clinicians 314
-
Amornpol Anuwatworn, M.D.
-
Casey Arns, ARNP
-
Eva Ashford, PAC
-
Gavin A. Bakker, ARNP
-
Paris A Barkan, MD
-
Katie Bates, ARNP
-
Tarun Jacob Bathini, M.D.
-
Omar Bayomy, MD
-
Ryan Joseph Beachy, PA-C
-
Hope Michelle Pike Beam, APRN
-
Bobbi Schylene Beard, DNP
-
John Mark Beard, MD
-
Jennifer Ann Beaty, ARNP, RN
-
Jordan David Becerril, M.D.
-
Kelly Behne, PA-C
-
Alison M Beieler, PA
-
Mark S Berman, MD
-
Sunny Bhaskaran, MD
-
Gregory B Bickel, PA-C
Medicare Care Compare: Hospital
- Listed as
- Kittitas Valley Community Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA
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
- Other · Non-profit
- Enrollment address
- 603 S Chestnut St
Ellensburg, WA 98926-3875
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Lisa Gott |
W-2 Managing Employee |
Jan 1, 2024 | |
| Kittitas County Public Hospital Dist 1 |
Operational/Managerial Control | Jan 1, 1966 | 100% |
| Rhonda Holden |
Corporate Director |
Dec 9, 2009 |
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Kittitas Valley Healthcare |
Hospital | Operational/Managerial Control (100%) | Jan 1, 2004 |
| Kittitas Valley Healthcare Home Health |
Home health agency | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1964 Jan 1, 1964 |
| Kittitas Valley Comm Hospital Hospice |
Hospice | 5% Or Greater Direct Ownership Interest Operational/Managerial Control |
Jul 25, 2008 Oct 3, 2011 |
| Kittitas Valley Healthcare Family Medicine Cle Elum |
Rural health clinic | Operational/Managerial Control (100%) | Jul 1, 2005 |
| Kittitas Valley Healthcare Internal Medicine |
Rural health clinic | Operational/Managerial Control (100%) | Jul 26, 2007 |
| Medical Arts Center Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Nov 1, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
700 E Manitoba Ave
Ste 109
Ellensburg, WA 98926
Phone (509) 925-6947
100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000
700 E Manitoba Ave
Ellensburg, WA 98926
Phone (509) 925-6100
702 E Mountain View Ave
#2
Ellensburg, WA 98926
Phone (509) 933-8830
Interoperability endpoints
- jajudd@kittitasvalleyhealthcare.cernerdirect.com
- achen@kittitasvalleyhealthcare.cernerdirect.com
- lmusick@kittitasvalleyhealthcare.cernerdirect.com
- mpokrifchak@kittitasvalleyhealthcare.cernerdirect.com
- apeet@kittitasvalleyhealthcare.cernerdirect.com
- cgavin@kittitasvalleyhealthcare.cernerdirect.com
- rramm@kittitasvalleyhealthcare.cernerdirect.com
- jhibbs@kittitasvalleyhealthcare.cernerdirect.com
- nbasmeh@kittitasvalleyhealthcare.cernerdirect.com
- perley@kittitasvalleyhealthcare.cernerdirect.com
- fcruz@kittitasvalleyhealthcare.cernerdirect.com
- mromanko@kittitasvalleyhealthcare.cernerdirect.com
- dfrick@kittitasvalleyhealthcare.cernerdirect.com
- mcyoung@kittitasvalleyhealthcare.cernerdirect.com
- klindsey@kittitasvalleyhealthcare.cernerdirect.com
- klarson@kittitasvalleyhealthcare.cernerdirect.com
- kittitasvh@kittitasvalleyhealthcare.cernerdirect.com
- jsimons@kittitasvalleyhealthcare.cernerdirect.com
- bghermay@kittitasvalleyhealthcare.cernerdirect.com
- pkbrar@kittitasvalleyhealthcare.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | H-140 | WA | Yes |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011427 | Other | WA | ST WA LABOR & IND. |
| 3619301 | Medicaid | WA | |
| 9311606 | Medicaid | WA | |
| 8259954 | Medicaid | WA | |
| 9029158 | Medicaid | WA | |
| 6132401 | Medicaid | WA | |
| 7401847 | Medicaid | WA | |
| 835 | Other | WA | GROUP HEALTH COOPERATIVE |
| 0011427 | Other | WA | ST OF WASH LABOR & INDUST |
| 152 | Other | WA | BLUE CROSS OF WASHINGTON |
| 3342300 | Medicaid | WA |
Other names
- Kittitas Valley Community Hospital
- Kittitas Valley Healthcare
Other providers in Ellensburg, WA
- Kittitas County Public Hosp Dist 1
- Kittitas County Public Hospital
- Kittitas County Public Hospital Dist 1
- Kittitas County Public Hospital Dist 1
- Kittitas County Public Hospital Dist 1
- Kittitas County Public Hospital Dist 1
- Kittitas County Public Hospital Dist 1
- Kittitas County Public Hospital Dist 1
- Kittitas County Public Hospital Dist 1
- Kittitas County Public Hospital Dist 1
All providers in Ellensburg, WA · Critical Access Hospital in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.