Provider Demographics
NPI:1356375307
Name:KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Entity type:Organization
Organization Name:KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:L
Authorized Official - Last Name:LITTKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-962-7424
Mailing Address - Street 1:P.O. BOX 799
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926
Mailing Address - Country:US
Mailing Address - Phone:509-962-9841
Mailing Address - Fax:509-925-8486
Practice Address - Street 1:603 S. CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ELLENSBURG
Practice Address - State:WA
Practice Address - Zip Code:98926
Practice Address - Country:US
Practice Address - Phone:509-962-9841
Practice Address - Fax:509-962-7351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA282NC0060X
WAH-140282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0011427OtherST WA LABOR & IND.
WA3619301Medicaid
WA9311606Medicaid
WA8259954Medicaid
WA9029158Medicaid
WA6132401Medicaid
WA7401847Medicaid
WA835OtherGROUP HEALTH COOPERATIVE
WA0011427OtherST OF WASH LABOR & INDUST
WA152OtherBLUE CROSS OF WASHINGTON
WA3342300Medicaid
WA9311606Medicaid