Provider Demographics
NPI:1851762090
Name:KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
Entity Type:Organization
Organization Name:KITTITAS COUNTY PUBLIC HOSPITAL DISTRICT #1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BILLING
Authorized Official - Prefix:
Authorized Official - First Name:HANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-933-8771
Mailing Address - Street 1:415 E MOUNTAIN VIEW AVE
Mailing Address - Street 2:STE 301
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-5802
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:415 E MOUNTAIN VIEW AVE
Practice Address - Street 2:STE 301
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926-5802
Practice Address - Country:US
Practice Address - Phone:509-925-2460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty