Organization Active NPI

Kittitas County Hospital Dist 2

  • Land Ambulance
  • Cle Elum, WA
National Provider Identifier
1700977204
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
19X01 Issued in WA
Legal business name
KITTITAS COUNTY HOSPITAL DIST 2
Practice address
505 Power St
Cle Elum, WA 98922-1047
Phone
(509) 674-4057
NPI assigned
Sep 28, 2006
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Jason Adler
Title
Treasurer
Phone
(509) 962-7416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 19X01 WA Primary

Addresses

Primary practice location

505 Power St
Cle Elum, WA 98922-1047

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000157 WA Part B Supplier - Ambulance Service Supplier 1456344381 Practice locations: Cle Elum, WA

National Provider Directory

National Provider Directory

Locations

111 Pine St
Cle Elum, WA 98922
Phone (509) 674-4057

617 Power St
Cle Elum, WA 98922
Phone (509) 674-5950

617 Power St
Uppr
Cle Elum, WA 98922
Phone (509) 933-8619

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1700977204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 POWER ST",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221047",
            "telephone_number": "509-674-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTITAS COUNTY HOSPITAL DIST 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "509-962-7416"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "19X01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cle Elum, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.