Active NPI
Kittitas County Hospital Dist 2
- Land Ambulance
- Cle Elum, WA
National Provider Identifier
1700977204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 19X01
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080211000157 | WA | Part B Supplier - Ambulance Service Supplier | 1456344381 | Practice locations: Cle Elum, WA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Connell, WA
- NPI 1952355448
-
- Physician Assistant
- White Salmon, WA
- NPI 1225002074
-
- Emergency Medicine Physician
- Ellensburg, WA
- NPI 1770514028
-
- Medical Physician Assistant
- Wenatchee, WA
- NPI 1316970775
-
- Emergency Medicine Physician
- Lakewood, WA
- NPI 1083656136
-
- Physician Assistant
- Ellensburg, WA
- NPI 1720001092
-
- Physician Assistant
- Washington, DC
- NPI 1154364099
-
- Medical Physician Assistant
- Corvallis, OR
- NPI 1881670511
-
- Medical Physician Assistant
- Portland, OR
- NPI 1700833217
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
- Richard S. Grillo Jr., PHARMACIST
- Sarah Mariah Heniges
- Susan Kay Hovda I, MASSAGE THERAPIST
- Julienne Jobin
- Wesley E Johnson, D.D.S.
- Kittitas County Public Hospital Dist 1 (KVH Family Medicine - Cle Elum)
- Koinonia Christian Camp and Retreat Center
- Erin M Krekling, PT
- Emily Kuta, RPH
- Brandy Lindeman, RD, CD
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.