Organization · Type 2 NPI

Kittitas County Public Hospital Dist 1

Community Based Hospice Care Agency · Ellensburg, WA

NPI number 1639197882 Active

Practice location

1505 E Radio Rd
Ellensburg, WA 98926-9589

Call (509) 962-7438 Map

Fax (509) 925-8450

Mailing address

PO Box 799
Ellensburg, WA 98926-1921

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	IS-320 (WA)

Community Based Hospice Care Agency: Definition to come...

NPI record

NPI: 1639197882
Entity type: Organization (Type 2)
Issued: Jul 17, 2006
Last updated: Oct 14, 2026
Status: Active
Subpart: Yes of Kittitas County Public Hospital Dist 1

Other names

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Kittitas Valley Healthcare Hospice · doing business as

Authorized official

Lisa Michelle Gott
Director Revenue Cycle Operations
(509) 962-7424

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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 1639197882

Kittitas County Public Hospital Dist 1's National Provider Identifier is 1639197882, issued on Jul 17, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Ellensburg, WA. The record was last updated on Oct 14, 2026.