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General NPI Number Information
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NPI Number | 1356375307
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Entity Type | Organization
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Legal Business Name | KITTITAS COUNTY PUBLIC HOSPITAL DIST 1
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 603 S. CHESTNUT ST
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City | ELLENSBURG
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State | WA
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Zip | 98926
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Country | US
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Telephone | 509-962-9841
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Fax | 509-962-7351
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Provider Business Mailing Address
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Address Line | P.O. BOX 799
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City | ELLENSBURG
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State | WA
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Zip | 98926
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Country | US
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Telephone | 509-962-9841
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Fax | 509-925-8486
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | BECKY L LITTKE
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Credential |
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Telephone | 509-962-7424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H-140
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License Number State | WA
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