KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 NPI 1639197882

NPI Information

NPI: 1639197882
Provider Name: KITTITAS COUNTY PUBLIC HOSPITAL DIST 1

Doing Business As: KITTITAS VALLEY HEALTHCARE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
309 E MOUNTAIN VIEW AVE
ELLENSBURG, WA
ZIP 98926
Phone: (509) 962-7438
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KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 is a hospice care community based in Ellensburg, WA. KITTITAS COUNTY PUBLIC HOSPITAL DIST 1 NPI is 1639197882. The provider is registered as an organization entity type.
The provider Is Doing Business As Kittitas Valley Healthcare Hospice.

The provider's business location address is:

309 E MOUNTAIN VIEW AVE
ELLENSBURG, WA
ZIP 98926-768
Phone: (509) 962-7438
Fax: (509) 925-8450

The provider's authorized official is Aggie Sprague .
The authorized official title is Manager Transitional Care Home Heal and has the following contact phone number (509) 962-7438.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/10/2016.

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	251G00000X	Hospice Care, Community Based		IS-320	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	835	OTHER	WASHINGTON	GROPU HLTH COOP-HOSPICE
2	152	OTHER	WASHINGTON	BLUE CROSS-HOSPICE
3	91757683	OTHER	WASHINGTON	UNIFORM MED PLAN-HOSPICE
4	3990314	MEDICAID	WASHINGTON

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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