Organization Active NPI

Kittitas County Public Hospital District

  • Critical Access Hospital
  • Ellensburg, WA
National Provider Identifier
1487679262
Registry record updated Jul 10, 2018
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 DISTRICT
Practice address
603 S Chestnut St
Ellensburg, WA 98926
Phone
(509) 962-9841
Fax
(509) 962-7351
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Elizabeth Allgood
Title
Chief Financial Officer
Phone
(509) 962-7312

Specialties & licenses 1

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

Addresses

Primary practice location

603 S Chestnut St
Ellensburg, WA 98926

Mailing address

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-9841

Other identifiers 5

IdentifierTypeStateIssuer
0007775OtherWAST OF WASH LABOR & INDUST
835OtherWAGROUP HEALTH COOPERATIVE
9625476MedicaidWA
7994304MedicaidWA
152OtherWABLUE CROSS-ER PHY/GNP

Other names 1

  • Kittitas Valley Community Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kittitas County Public Hospital District 116 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

603 S Chestnut St
Ste 101
Ellensburg, WA 98926

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

100 E Jackson Ave
Ste 100
Ellensburg, WA 98926

Practitioners & affiliated clinicians

Practitioners 1

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1487679262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S CHESTNUT ST",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263875",
            "telephone_number": "509-962-9841",
            "fax_number": "509-962-7351"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "ALLGOOD",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "509-962-7312"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "WA",
            "license": "H-140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST OF WASH LABOR & INDUST",
            "identifier": "0007775",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOPERATIVE",
            "identifier": "835",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9625476",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7994304",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-ER PHY/GNP",
            "identifier": "152",
            "state": "WA"
        }
    ],
    "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"
        }
    ]
}

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 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.