Elkhorn Valley Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ELKHORN VALLEY CORPORATION

Doing business as

Family Health Care of Ellensburg

Practice address

107 E Mountain View Ave
Ellensburg, WA 98926-5312

Phone

(509) 962-6348

Fax

(509) 962-2003

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Byron L Haney, M.D.

Title

President

Phone

(509) 962-6348

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Family Health Care of Ellensburg Doing business as

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568575504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989265312",
            "telephone_number": "509-962-6348",
            "fax_number": "509-962-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989265312",
            "telephone_number": "509-962-6348",
            "fax_number": "509-962-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKHORN VALLEY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-962-6348",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "4582",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "33120",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7047830",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Care of Ellensburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoebe Ebel
• Treeva M Edwards, RN
• Jennifer D Ehlers, DH
• Carla Jo Eigenauer, RDH
• Elensburg Care LLC (Dry Creek Assisted Living Community)
• Ellensburg Chiropractic
• Ellensburg Chiropractic,PS
• Ellensburg Counseling Services PLLC
• Ellensburg Downtown Pharmacy Inc (Downtown Health Mart Pharmacy)
• Ellensburg Eye and Contact Lens Clinic

• Family Medicine Physician in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.