NPIMap

Organization Active NPI

Kittitas County Public Hosp Dist 1

  • Specialist
  • Ellensburg, WA
National Provider Identifier
1376773002
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KITTITAS COUNTY PUBLIC HOSP DIST 1
Practice address
100 E Jackson Ave
Ellensburg, WA 98926-3692
Phone
(509) 962-5437
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

100 E Jackson Ave
Ellensburg, WA 98926-3692

Mailing address

PO Box 799
Ellensburg, WA 98926-1921
Phone (509) 933-8720

Other practice location 1

611 S Chestnut St Ste D
Ellensburg, WA 98926-4815
Phone (509) 933-8700

Other practice location 2

700 E Manitoba Ave Ste 109
Ellensburg, WA 98926-3885
Phone (509) 933-8720

Other practice location 3

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

Other names 1

  • KVH Women's Health 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

Locations

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

Interoperability endpoints

  • Direct secure messaging: psingh@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: etorretta@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: glongo@kittitasvalleyhealthcare.cernerdirect.com
  • Direct secure messaging: tbeckett@kittitasvalleyhealthcare.cernerdirect.com

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1376773002",
    "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": "509-933-8720",
            "fax_number": "509-933-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JACKSON AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263692",
            "telephone_number": "509-962-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 S Chestnut St Ste D",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989264815",
            "country_code": "US",
            "telephone_number": "509-933-8700",
            "fax_number": "509-933-8705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 E Manitoba Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263885",
            "country_code": "US",
            "telephone_number": "509-933-8720",
            "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 HOSP DIST 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "GOTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "509-962-7424"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KVH Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KVH Women's Health",
            "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 Nov 10, 2025; 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.