KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 NPI 1932115391

NPI Information

NPI: 1932115391
Provider Name: KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

Doing Business As: KVH INTERNAL MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
700 E MANITOBA AVE STE 109
ELLENSBURG, WA
ZIP 98926
Phone: (509) 925-8445
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KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 is a rural health clinic center in Ellensburg, WA. KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 NPI is 1932115391. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kvh Internal Medicine.

The provider's business location address is:

700 E MANITOBA AVE STE 109
ELLENSBURG, WA
ZIP 98926-885
Phone: (509) 925-8445
Fax: (509) 925-8464

The provider's authorized official is Tara J Preciado .
The authorized official title is Billing Supervisor and has the following contact phone number (509) 962-9841.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		H 140	WASHINGTON	No
2	261QR1300X	Clinic/Center	Rural Health		WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7120595	MEDICAID	WASHINGTON
2	0202873	OTHER	WASHINGTON	LABOR & INDUST
3	152	OTHER	WASHINGTON	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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