Kittitas County Public Hosp Dist 1

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHAR.CF.60588203 Issued in WA

Legal business name

KITTITAS COUNTY PUBLIC HOSP DIST 1

Practice address

603 S Chestnut St
Ellensburg, WA 98926

Phone

(509) 925-8484

Fax

(509) 925-8485

NPI assigned

Feb 13, 2017

Last updated

Jun 1, 2018By 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

Julie Petersen

Title

Interim Ceo

Phone

(509) 962-7301

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1528507464",
    "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": "509-925-8484",
            "fax_number": "509-925-8485"
        },
        {
            "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": "509-925-8484",
            "fax_number": "509-925-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTITAS COUNTY PUBLIC HOSP DIST 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "509-962-7301"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "PHAR.CF.60588203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165866",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2077649",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kittitas County Public Health (Kittitas County Sheriff's Office)
• Kittitas County Public Health
• 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 Hospital (Sonja Wright)
• Kittitas County Public Hospital Dist 1 (KVH Orthopedics)
• Kittitas County Public Hospital Dist 1 (Kittitas Valley Healthcare)
• Kittitas County Public Hospital Dist 1 (KVH Womens Health)
• Kittitas County Public Hospital Dist 1 (Kittitas Valley Community Hospital)

• Community/Retail Pharmacy in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Community/Retail Pharmacy in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.