Kittitas County Public Health

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

KITTITAS COUNTY PUBLIC HEALTH

Practice address

507 N Nanum St
Suite 102
Ellensburg, WA 98926

Phone

(509) 962-7515

Fax

(509) 962-7581

NPI assigned

Dec 5, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Larson, MD

Title

Health Officer

Phone

(509) 962-7515

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Debra Sue Sandvig, RD,CD, IBCLC

  • Registered Dietitian
  • Ellensburg, WA
  • NPI 1316104896
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1508924275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N NANUM ST",
            "address_2": "SUITE 102",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-962-7515",
            "fax_number": "509-962-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N NANUM ST",
            "address_2": "SUITE 102",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-962-7515",
            "fax_number": "509-962-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTITAS COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "509-962-7515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7305204",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7401169",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Kim
• Chadrick Halston Kirkpatrick
• Kittitas Anesthesia LLC
• Kittitas County Fire Protection District 2 (Kittitas Valley Fire & Rescue)
• Kittitas County Public Health (Kittitas County Sheriff's Office)
• Kittitas County Public Hosp Dist 1 (Kittitas Valley Healthcare Pharmacy)
• Kittitas County Public Hosp Dist 1 (KVH Women's Health)
• Kittitas County Public Hosp Dist 1 (KVH Urology)
• Kittitas County Public Hosp Dist 1
• Kittitas County Public Hospital (Sonja Wright)

• State or Local Public Health Clinic/Center in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• State or Local Public Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.