Organization · Type 2 NPI

Kittitas County Public Hospital Dist 1

Rural Health Clinic/Center · Cle Elum, WA

NPI number 1194747774 Active

Practice location

201 Alpha Way
Cle Elum, WA 98922-1045

Call (509) 674-5331 Map

Fax (509) 674-5034

Mailing address

P.o. Box 799
Ellensburg, WA 98926

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

9 other providers at this address

NPI record

NPI: 1194747774
Entity type: Organization (Type 2)
Issued: Jul 24, 2006
Last updated: Oct 13, 2017
Status: Active
Subpart: Yes of Kittitas County Public Hospital Dist 1

Other names

<unavail>
KVH Family Medicine - Cle Elum · doing business as

Authorized official

Mrs. Jean Roberson
Director Cbo
(509) 933-8771

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194747774

Kittitas County Public Hospital Dist 1's National Provider Identifier is 1194747774, issued on Jul 24, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Cle Elum, WA. The record was last updated on Oct 13, 2017.