| Kittitas County Public Hospital Dist 1 | |
|
100 E Jackson Ave Ellensburg WA 98926-3692 | |
| (509) 933-8777 | |
| (509) 933-8741 |
| Full Name | Kittitas County Public Hospital Dist 1 |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 E Jackson Ave, Ellensburg, Washington |
| Authorized Official Name and Position | Becky Littke (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 5099627424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kittitas County Public Hospital Dist 1 P.o. Box 799 Ellensburg WA 98926 Ph: (509) 933-8771 | Kittitas County Public Hospital Dist 1 100 E Jackson Ave Ellensburg WA 98926-3692 Ph: (509) 933-8777 |
| NPI Number | 1770711764 |
|---|---|
| Provider Enumeration Date | 06/29/2009 |
| Last Update Date | 05/28/2020 |
| Medicare PECOS PAC ID | 0547179608 |
|---|---|
| Medicare Enrollment ID | O20100819000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770711764 | NPI | - | NPPES |
| 0248379 | Other | WA | L&I |
| 7114267 | Medicaid | WA | |
| HAC.FS.00000140 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | H-140 (Washington) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Washington) | Primary |
Community Health Of Central Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 E Mountain View Ave, Ellensburg, WA 98926 Phone: 509-494-6700 | |
Awake Health Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Main St, Ellensburg, WA 98926 Phone: 509-304-9881 | |
Kittitas County Public Hospital Dist 1 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Jackson Ave, Ellensburg, WA 98926 Phone: 509-962-7312 | |
Ellensburg Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W 3rd Ave # A, Ellensburg, WA 98926 Phone: 509-388-2345 | |
Memorial Physicians, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E Jackson Ave, Ste. 102, Ellensburg, WA 98926 Phone: 509-574-3383 Fax: 509-225-2705 | |
Kittitas County Public Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 N Nanum St, Suite 102, Ellensburg, WA 98926 Phone: 509-962-7515 Fax: 509-962-7581 | |
Mindbody Health And Wellness Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 W 3rd Ave Ste B, Ellensburg, WA 98926 Phone: 509-388-9887 |